Organization Active NPI

Bellmore Physical Therapy PC

  • Physical Therapist
  • N Bellmore, NY
National Provider Identifier
1215470562
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
039561 Issued in NY
Legal business name
BELLMORE PHYSICAL THERAPY PC
Practice address
2566 Jerusalem Ave
N Bellmore, NY 11710-1832
Phone
(516) 785-1667
Fax
(516) 785-1668
NPI assigned
Nov 18, 2016
Last updated
Nov 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

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

Authorized official

Name
Darlene Shane
Title
Office Manager
Phone
(516) 785-1667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 039561 NY Primary

Addresses

Primary practice location

2566 Jerusalem Ave
N Bellmore, NY 11710-1832

Mailing address

2566 Jerusalem Ave
N Bellmore, NY 11710-1832
Phone (516) 785-1667

National Provider Directory

National Provider Directory
Tax ID family
Bellmore Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2566 Jerusalem Ave
North Bellmore, NY 11710
Phone (516) 781-1800

Practitioners & affiliated clinicians

Practitioners 1

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": "1479427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479427200000",
    "number": "1215470562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2566 JERUSALEM AVE",
            "city": "N BELLMORE",
            "state": "NY",
            "postal_code": "117101832",
            "telephone_number": "516-785-1667",
            "fax_number": "516-785-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2566 JERUSALEM AVE",
            "city": "N BELLMORE",
            "state": "NY",
            "postal_code": "117101832",
            "telephone_number": "516-785-1667",
            "fax_number": "516-785-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLMORE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-18",
        "last_updated": "2016-11-18",
        "status": "A",
        "authorized_official_last_name": "SHANE",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "516-785-1667"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "039561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Bellmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; 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.