Active NPI
Linehan Physical Therapy of Long Island, PC
- Physical Therapy Clinic/Center
- Ronkonkoma, NY
National Provider Identifier
1205040359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- LINEHAN PHYSICAL THERAPY OF LONG ISLAND, PC
- Practice address
- 650 Hawkins Ave
Suite 4
Ronkonkoma, NY 11779-2366 - Phone
- (631) 981-7422
- Fax
- (631) 981-2490
- NPI assigned
- May 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Karen Linehan, M.PT
- Title
- Physical Therapist/Owner
- Phone
- (631) 981-7422
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | NY | Primary |
Addresses
Primary practice location
650 Hawkins Ave
Suite 4
Ronkonkoma, NY 11779-2366
Mailing address
PO Box 144
Ronkonkoma, NY 11779-0144
Phone (631) 981-7422
Other names 1
- PREMIER PHYSICAL THERAPY
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1363132800000",
"number": "1205040359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 144",
"city": "RONKONKOMA",
"state": "NY",
"postal_code": "117790144",
"telephone_number": "631-981-7422",
"fax_number": "631-981-2490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 HAWKINS AVE",
"address_2": "SUITE 4",
"city": "RONKONKOMA",
"state": "NY",
"postal_code": "117792366",
"telephone_number": "631-981-7422",
"fax_number": "631-981-2490"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINEHAN PHYSICAL THERAPY OF LONG ISLAND, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-09",
"last_updated": "2013-03-13",
"status": "A",
"authorized_official_last_name": "LINEHAN",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
"authorized_official_telephone_number": "631-981-7422",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "M.PT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PREMIER PHYSICAL THERAPY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ronkonkoma, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.