Donnie Clark Litimco, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

6135 69TH LN
Middle Village, NY 11379-1224

Phone

(347) 836-2394

NPI assigned

Mar 24, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Priority One Therapy PT OT SLP PLLC

  • Rehabilitation Practitioner
  • Oceanside, NY
  • NPI 1447517453
  Medicare reassignment NPD

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1235889254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6135 69TH LN",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113791224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6135 69TH LN",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113791224",
            "telephone_number": "347-836-2394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITIMCO",
        "first_name": "DONNIE CLARK",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniela Leyva Castillo
• Joseph M Licul, D.D.S.
• Jinjoo Lim
• Virgen Lim, PTA
• Jiafeng Lin, PHARMD
• Little Blossoms of Middle Village
• Little Magicians Daycare, Inc
• Tori Jeanette Lloyd
• Long Island Medical Equipment Corp.
• Isabel Cristina Lopera-Sarria, OTR/L

• Physical Therapist in Middle Village, NY
• Providers in Middle Village, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.