Physical Therapy Associates of Lake Success, PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

004454 Issued in NY

Legal business name

PHYSICAL THERAPY ASSOCIATES OF LAKE SUCCESS, PC

Practice address

444 Lakeville Rd
New Hyde Park, NY 11042-1165

Phone

(516) 353-0256

NPI assigned

Jul 13, 2006

Organization subpart

No

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

Authorized official

Name

Angela HitsousNPI 1811923220

Title

M.D.

Phone

(516) 353-0256

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Angela Elaine Hitsous, P T

  • Physical Therapist
  • New Hyde Park, NY
  • NPI 1811923220
  NPD (past) Authorized official

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174549463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 LAKEVILLE RD",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421165",
            "telephone_number": "516-353-0256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 LAKEVILLE RD",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421165",
            "telephone_number": "516-353-0256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY ASSOCIATES OF LAKE SUCCESS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HITSOUS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "516-353-0256"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "004454",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "003786",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivan John Philipose
• Susan Philipose
• Karyn M Phillips, DC
• Jonathan Phua, PA-C
• Physiatry Associates PC
• Physicians Medical Care, P.C.
• Katherine Mary Piacentini, PA
• Noah Joseph Piciullo, DPT
• Matthew James Pierce, MD, MBA
• Lucinda Natalie Pierre, NP

• Physical Medicine & Rehabilitation Physician in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.