Individual provider Active NPI

William M. Herro, PT

  • Physical Therapist
  • Center Moriches, NY
National Provider Identifier
1194745083
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
005685-1 Issued in NY
Practice address
220 Main St
Center Moriches, NY 11934-3504
Phone
(631) 878-4545
Fax
(631) 878-4573
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 005685-1 NY Primary

Addresses

Primary practice location

220 Main St
Center Moriches, NY 11934-3504

Mailing address

220 Main St
Center Moriches, NY 11934-3504
Phone (631) 878-4545

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110428000403 NY Practitioner - Physical Therapist in Private Practice 8820273725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
State University of New York Downstate Medical Center, 1978
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

220 Main St
Suite 3
Center Moriches, NY 11934-3516
Phone (631) 878-6360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005685-1NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Physical Therapy P.C. Physical Therapist CurrentSince Mar 1, 2011 Accepting new patients

Locations

220 Main St
Ctr Moriches, NY 11934
Phone (631) 874-2700

220 Main St
Ste 3
Ctr Moriches, NY 11934
Phone (631) 878-4545

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194745083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 MAIN ST",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119343504",
            "telephone_number": "631-878-4545",
            "fax_number": "631-878-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 MAIN ST",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119343504",
            "telephone_number": "631-878-4545",
            "fax_number": "631-878-4573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRO",
        "first_name": "WILLIAM",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "005685-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Moriches, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.