Individual provider Active NPI

Steven Hill Panzik, MSPT, CSCS, ACFP

  • Physical Therapist
  • Manhasset, NY
National Provider Identifier
1245420215
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
QN6731 Issued in NY
Practice address
21 E Shore Rd
Manhasset, NY 11030-2934
Phone
(516) 365-2800
NPI assigned
Jul 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X QN6731 NY Primary

Addresses

Primary practice location

21 E Shore Rd
Manhasset, NY 11030-2934

Mailing address

21 E Shore Rd
Manhasset, NY 11030-2934
Phone (516) 365-2800

Other identifiers 1

IdentifierTypeStateIssuer
QN6731OtherNYLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
QN6731NYMDPhysical Therapist
022708NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1245420215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 E SHORE RD",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110302934",
            "telephone_number": "516-365-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 E SHORE RD",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110302934",
            "telephone_number": "516-365-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANZIK",
        "first_name": "STEVEN",
        "middle_name": "HILL",
        "name_prefix": "Mr.",
        "credential": "MSPT, CSCS, ACFP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "QN6731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "QN6731",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.