Organization Active NPI

Islander Physical and Occupational Therapy Services, PLLC

  • Physical Therapy Clinic/Center
  • Bohemia, NY
National Provider Identifier
1174959878
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
015455 Issued in NY
Legal business name
ISLANDER PHYSICAL AND OCCUPATIONAL THERAPY SERVICES, PLLC
Practice address
1461 Lakeland Ave
Suite 12
Bohemia, NY 11716-2174
Phone
(516) 745-1177
Fax
(516) 745-1189
NPI assigned
Sep 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Authorized official

Name
Dr. Chris Kalinoglu, PT
Title
Director
Phone
(516) 745-1177

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 015455 NY
Physical Therapy Clinic/Center 261QP2000X 015455 NY Primary

Addresses

Primary practice location

1461 Lakeland Ave
Suite 12
Bohemia, NY 11716-2174

Mailing address

1101 Stewart Ave
Suite 100
Garden City, NY 11530-4892
Phone (516) 745-1177

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150211000822 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6507181732 Receives reassigned benefits from 2 practitioners
Practice locations: Merrick, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1380067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380067200000",
    "number": "1174959878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 STEWART AVE",
            "address_2": "SUITE 100",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304892",
            "telephone_number": "516-745-1177",
            "fax_number": "516-745-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1461 LAKELAND AVE",
            "address_2": "SUITE 12",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117162174",
            "telephone_number": "516-745-1177",
            "fax_number": "516-745-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLANDER PHYSICAL AND OCCUPATIONAL THERAPY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-25",
        "last_updated": "2013-09-25",
        "status": "A",
        "authorized_official_last_name": "KALINOGLU",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "516-745-1177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NY",
            "license": "015455",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "015455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bohemia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; 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.