Organization Active NPI

Westbury Physical Therapy and Chiropractic PLLC

  • Physical Therapist
  • Westbury, NY
National Provider Identifier
1154825784
Registry record updated May 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
WESTBURY PHYSICAL THERAPY AND CHIROPRACTIC PLLC
Practice address
1065 Old Country Rd Ste 214
Westbury, NY 11590-5628
Phone
(631) 334-7000
NPI assigned
Mar 20, 2018
Last updated
May 10, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stephen S AthanNPI 1063500155
Title
Owner
Phone
(516) 334-7000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1065 Old Country Rd Ste 214
Westbury, NY 11590-5628

Mailing address

1065 Old Country Rd Ste 214
Westbury, NY 11590-5628
Phone (631) 334-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180606001335 NY Part B Supplier - Clinic/Group Practice 0648535021 Receives reassigned benefits from 4 practitioners
Practice locations: Westbury, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525910400000",
    "number": "1154825784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 OLD COUNTRY RD STE 214",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115905628",
            "telephone_number": "631-334-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 OLD COUNTRY RD STE 214",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115905628",
            "telephone_number": "631-334-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTBURY PHYSICAL THERAPY AND CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-05-10",
        "status": "A",
        "authorized_official_last_name": "ATHAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-334-7000"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.