Active NPI
Professional Orthopedic and Sports Physical Therapy PC
- Physical Therapist
- Commack, NY
National Provider Identifier
1235554890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY PC
- Practice address
- 66 Commack Rd
Suite 300
Commack, NY 11725-3405 - Phone
- (631) 486-5286
- Fax
- (631) 486-5287
- NPI assigned
- Feb 19, 2014
- Last updated
- Mar 30, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Helen Agrelo
- Title
- SVP of Administrative Operations
- Phone
- (516) 321-2424
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NY | Primary |
Addresses
Primary practice location
66 Commack Rd
Suite 300
Commack, NY 11725-3405
Mailing address
576 Broadhollow Rd
Melville, NY 11747-5002
Phone (516) 321-2400
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1522368000000",
"number": "1235554890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "576 BROADHOLLOW RD",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117475002",
"telephone_number": "516-321-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 COMMACK RD",
"address_2": "SUITE 300",
"city": "COMMACK",
"state": "NY",
"postal_code": "117253405",
"telephone_number": "631-486-5286",
"fax_number": "631-486-5287"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-19",
"last_updated": "2018-03-30",
"status": "A",
"authorized_official_last_name": "AGRELO",
"authorized_official_first_name": "HELEN",
"authorized_official_title_or_position": "SVP OF ADMINISTRATIVE OPERATIONS",
"authorized_official_telephone_number": "516-321-2424"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Commack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.