Illari Physcial Therapy P.C.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

018220 Issued in NY

Legal business name

ILLARI PHYSCIAL THERAPY P.C.

Practice address

2314 N Ocean Ave
Farmingville, NY 11738-2915

Phone

(631) 438-0400

Fax

(631) 438-0401

NPI assigned

Jun 15, 2016

Organization subpart

No

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

Authorized official

Name

Megan B Illari, P.T.NPI 1932320462

Title

Director

Phone

(631) 252-1512

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 4

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

• Megan Baird Illari, P.T.

  • Physical Therapist
  • Saint James, NY
  • NPI 1932320462
  Medicare reassignment Care Compare group NPD Authorized official
• Joseph Illari, P.T.

  • Physical Therapist
  • Smithtown, NY
  • NPI 1740389873
  Medicare reassignment Care Compare group NPD
• Audrey Phung

  • Physical Therapist
  • Farmingville, NY
  • NPI 1578451613
  NPD
• Georgine Polimeni-Napurano, PT

  • Physical Therapist
  • Smithtown, NY
  • NPI 1285733394
  NPD (past)

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1164872669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 CLEREMONT AVE",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117801708",
            "telephone_number": "631-447-2315",
            "fax_number": "631-447-2297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 N OCEAN AVE",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117382915",
            "telephone_number": "631-438-0400",
            "fax_number": "631-438-0401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "269 E Main St Bldg F",
            "address_purpose": "LOCATION",
            "city": "Smithtown",
            "state": "NY",
            "postal_code": "117872832",
            "country_code": "US",
            "telephone_number": "631-382-7793",
            "fax_number": "631-382-7786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ILLARI PHYSCIAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-15",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A",
        "authorized_official_last_name": "ILLARI",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "631-252-1512",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "018220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Hoey, PA
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• Nicole Marie Horak, MSED
• Horseblock Medical PC
• Courtney Horst
• Inner Health Acupuncture
• Troy Jackson
• Jaimee Graziano, SLP, P.C.
• Annmarie Jazylo, CASAC
• Jasper Espigadera Jimenez, PTA

• Physical Therapy Clinic/Center in Farmingville, NY
• Providers in Farmingville, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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.