Long Island Pediatric Physical Therapy, PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

006167 Issued in NY

Legal business name

LONG ISLAND PEDIATRIC PHYSICAL THERAPY, PC

Practice address

99 Tulip Ave
Suite 407
Floral Park, NY 11001-1974

Phone

(516) 358-9146

NPI assigned

Feb 5, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Philip J Koch, PTNPI 1154460665

Title

President

Phone

(516) 358-9146

Specialties & licenses 1

Addresses

Locations

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.

• Philip J Koch, PT

  • Physical Therapist
  • Floral Park, NY
  • NPI 1154460665
  NPD (past) Authorized official

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245379759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 TULIP AVE",
            "address_2": "SUITE 407",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110011974",
            "telephone_number": "516-358-9146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 TULIP AVE",
            "address_2": "SUITE 407",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110011974",
            "telephone_number": "516-358-9146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND PEDIATRIC PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-358-9146",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "006167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David M. Levy, OPTICIAN
• De Hui Li, PHARMD
• Stephanie Rose Lim, PHARM.D.
• Little Builders Services Inc.
• Long Island Health Care, LLC
• Maryjo Lopiccolo Maguire
• Karen J Loredan
• Love Galaxy Acupuncture PC
• Kristen Anne Lucke, M.S CCC-SLP/TSSLD
• Samantha Lumetta, OTR/L

• Physical Therapist in Floral Park, NY
• Providers in Floral Park, 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 Aug 22, 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.