Prothera Medical

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

222059 Issued in NY

Legal business name

PROTHERA MEDICAL

Practice address

1274 East Main Street
Riverhead, NY 11901

Phone

(631) 424-1240

Fax

(631) 424-1241

NPI assigned

Apr 10, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mike Pappas, MDNPI 1538132154

Title

Physician

Phone

(631) 424-1240

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mike M Pappas, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Riverhead, NY
  • NPI 1538132154
  NPD (past) Authorized official

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1225201262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1274 EAST MAIN STREET",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "11901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1274 EAST MAIN STREET",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "11901",
            "telephone_number": "631-424-1240",
            "fax_number": "631-424-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROTHERA MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "PAPPAS",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "631-424-1240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "222059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Private Practice Psychiatry Services LLC
• Professional Occupational & Physical Therapy, PLLC
• Professional Orthopedic and Sports Physical Therapy, PC
• Prohealth Care Associates, LLP
• Prohealth Chiropractic Rehabilitation PC
• Kayla Emily Provenzano, FNP
• QC - Medi New York, Inc.
• Quality Hearing Aid, Inc.
• Oscar R Quezada, M.D.
• Margaret Mary Quinlivan

• Physical Medicine & Rehabilitation Physician in Riverhead, NY
• Providers in Riverhead, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.