Organization Active NPI

Linehan Physical Therapy of Long Island, PC

  • Physical Therapy Clinic/Center
  • Ronkonkoma, NY
National Provider Identifier
1205040359
Registry record updated Mar 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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

Updated by the provider on Mar 13, 2013

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.