Organization Active NPI

Recover at Home PT PLLC

  • Physical Therapy Clinic/Center
  • Smithtown, NY
National Provider Identifier
1225640618
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
RECOVER AT HOME PT PLLC
Practice address
26 Baylor Dr
Smithtown, NY 11787-2002
Phone
(516) 729-0528
NPI assigned
Aug 18, 2020
Last updated
Aug 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Authorized official

Name
Catherine Marie Ciccio, PT
Title
DPT
Phone
(516) 729-0528

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

26 Baylor Dr
Smithtown, NY 11787-2002

Mailing address

26 Baylor Dr
Smithtown, NY 11787-2002
Phone (516) 729-0528

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Smithtown

National Provider Directory

National Provider Directory

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": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1225640618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 BAYLOR DR",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872002",
            "telephone_number": "516-729-0528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 BAYLOR DR",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872002",
            "telephone_number": "516-729-0528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVER AT HOME PT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "CICCIO",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DPT",
        "authorized_official_telephone_number": "516-729-0528",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Smithtown",
            "affiliation": "N",
            "address_1": "26 Baylor Dr",
            "city": "Smithtown",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117872002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.