NPIMap

Organization Active NPI

Mitchell T Yass Physical Therapy PC

  • Physical Therapist
  • Farmingdale, NY
National Provider Identifier
1164529871
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0137051 Issued in NY
Legal business name
MITCHELL T YASS PHYSICAL THERAPY PC
Practice address
309 Northwest Dr
Farmingdale, NY 11735-4935
Phone
(516) 420-2900
Fax
(516) 420-2908
NPI assigned
Sep 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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

Authorized official

Name
Mitchell T Yass, PTNPI 1700063468
Title
President
Phone
(516) 420-2900

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 0137051 NY Primary

Addresses

Primary practice location

309 Northwest Dr
Farmingdale, NY 11735-4935

Mailing address

309 Northwest Dr
Farmingdale, NY 11735-4935
Phone (516) 420-2900

Other identifiers 2

IdentifierTypeStateIssuer
P607878OtherNYOXFORD
6602199OtherNYGHI

Other names 1

  • PT2 Physical Therapy and Personal Training Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1164529871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 NORTHWEST DR",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117354935",
            "telephone_number": "516-420-2900",
            "fax_number": "516-420-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 NORTHWEST DR",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117354935",
            "telephone_number": "516-420-2900",
            "fax_number": "516-420-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL T YASS PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "YASS",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-420-2900",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0137051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P607878",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "6602199",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PT2 Physical Therapy and Personal Training",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmingdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.