Organization Active NPI

East Meadow PT & Chiropractic PLLC

Doing business as East Meadow PTDC

  • Physical Therapist
  • East Meadow, NY
National Provider Identifier
1235614132
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
EAST MEADOW PT & CHIROPRACTIC PLLC
Doing business as
East Meadow PTDC
Practice address
2120 Hempstead Tpke
East Meadow, NY 11554-1803
Phone
(516) 794-0414
Fax
(516) 794-0435
NPI assigned
Sep 27, 2018
Last updated
Sep 27, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Authorized official

Name
Jack Tesoriero, DC
Title
Owner
Phone
(631) 680-2166

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU
Acupuncturist 171100000X NU
Physical Therapist 225100000X NU Primary
Massage Therapist 225700000X NU

Addresses

Primary practice location

2120 Hempstead Tpke
East Meadow, NY 11554-1803

Mailing address

2120 Hempstead Tpke
East Meadow, NY 11554-1803
Phone (516) 794-0414

Other names 1

  • East Meadow PTDC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538006400000",
    "number": "1235614132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 HEMPSTEAD TPKE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541803",
            "telephone_number": "516-794-0414",
            "fax_number": "516-794-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 HEMPSTEAD TPKE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541803",
            "telephone_number": "516-794-0414",
            "fax_number": "516-794-0435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST MEADOW PT & CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-27",
        "last_updated": "2018-09-27",
        "status": "A",
        "authorized_official_last_name": "TESORIERO",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-680-2166",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Meadow PTDC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Meadow, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.

Verify at the official NPI Registry.