Organization Active NPI

All-Star Physcial Therapy of Seaford P.C.

  • Physical Therapy Clinic/Center
  • Seaford, NY
National Provider Identifier
1184929440
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
021476 Issued in NY
Legal business name
ALL-STAR PHYSCIAL THERAPY OF SEAFORD P.C.
Practice address
3839 Merrick Rd
Seaford, NY 11783-2839
Phone
(516) 802-2895
Fax
(516) 802-2897
NPI assigned
Jan 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

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

Authorized official

Name
Mr. Christopher Kimball, P.T.
Title
Owner/Physical Therapist
Phone
(516) 802-2895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 021476 NY Primary

Addresses

Primary practice location

3839 Merrick Rd
Seaford, NY 11783-2839

Mailing address

3839 Merrick Rd
Seaford, NY 11783-2839
Phone (516) 802-2895

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1295308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321315200000",
    "number": "1184929440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3839 MERRICK RD",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117832839",
            "telephone_number": "516-802-2895",
            "fax_number": "516-802-2897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3839 MERRICK RD",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117832839",
            "telephone_number": "516-802-2895",
            "fax_number": "516-802-2897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL-STAR PHYSCIAL THERAPY OF SEAFORD P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-11-15",
        "status": "A",
        "authorized_official_last_name": "KIMBALL",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "516-802-2895",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "021476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.