Active NPI
South Nassau Physical Therapy PC
- Physical Therapist
- Hempstead, NY
National Provider Identifier
1154869543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 029592
- Legal business name
- SOUTH NASSAU PHYSICAL THERAPY PC
- Practice address
- 230 Hilton Ave
Suite 19 and 20
Hempstead, NY 11550-8115 - Phone
- (516) 307-9166
- Fax
- (516) 307-9165
- NPI assigned
- Feb 6, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sabaa Mundia, DPT
- Title
- President
- Phone
- (516) 307-9166
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 029592 | NY | Primary |
Addresses
Primary practice location
230 Hilton Ave
Suite 19 and 20
Hempstead, NY 11550-8115
Mailing address
230 Hilton Ave
Suite 19 and 20
Hempstead, NY 11550-8115
Phone (516) 307-9166
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Hempstead, NY
- NPI 1033446539
-
- Occupational Therapist
- Brooklyn, NY
- NPI 1407299498
-
- Occupational Therapist
- Brooklyn, NY
- NPI 1043007297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1486339200000",
"number": "1154869543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 HILTON AVE",
"address_2": "SUITE 19 AND 20",
"city": "HEMPSTEAD",
"state": "NY",
"postal_code": "115508115",
"telephone_number": "516-307-9166",
"fax_number": "516-307-9165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 HILTON AVE",
"address_2": "SUITE 19 AND 20",
"city": "HEMPSTEAD",
"state": "NY",
"postal_code": "115508115",
"telephone_number": "516-307-9166",
"fax_number": "516-307-9165"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH NASSAU PHYSICAL THERAPY PC",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-06",
"last_updated": "2017-02-06",
"status": "A",
"authorized_official_last_name": "MUNDIA",
"authorized_official_first_name": "SABAA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "516-307-9166",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NY",
"license": "029592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hempstead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.