NPIMap

Organization Active NPI

One Physical Therapy, P.C.

  • Physical Therapist
  • Syosset, NY
National Provider Identifier
1235436874
Registry record updated Dec 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
026960 Issued in NY
Legal business name
ONE PHYSICAL THERAPY, P.C.
Practice address
300 Robbins LN
Syosset, NY 11791-6012
Phone
(516) 513-1510
Fax
(516) 513-1511
NPI assigned
Feb 17, 2011
Last updated
Dec 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2015

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

Authorized official

Name
Mr. David Ian Lipetz, P.T.NPI 1932151180
Title
Owner/ President
Phone
(516) 513-1510

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 026960 NY Primary

Addresses

Primary practice location

300 Robbins LN
Syosset, NY 11791-6012

Mailing address

300 Robbins LN
Syosset, NY 11791-6012
Phone (516) 513-1510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150325000123 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1658555321 Receives reassigned benefits from 2 practitioners
Practice locations: Syosset, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449532800000",
    "number": "1235436874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 ROBBINS LN",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117916012",
            "telephone_number": "516-513-1510",
            "fax_number": "516-513-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 ROBBINS LN",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117916012",
            "telephone_number": "516-513-1510",
            "fax_number": "516-513-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2015-12-08",
        "status": "A",
        "authorized_official_last_name": "LIPETZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "IAN",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "516-513-1510",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "026960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.