Carle Place Sport & Orthopedic Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

CARLE PLACE SPORT & ORTHOPEDIC PHYSICAL THERAPY PC

Practice address

208 Stonehinge LN
Carle Place, NY 11514-1718

Phone

(516) 333-7771

Fax

(516) 333-3463

NPI assigned

Jul 22, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Les Madey, P.T.

Title

President

Phone

(516) 333-7771

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1255352464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 STONEHINGE LN",
            "city": "CARLE PLACE",
            "state": "NY",
            "postal_code": "115141718",
            "telephone_number": "516-333-7771",
            "fax_number": "516-333-3463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 STONEHINGE LN",
            "city": "CARLE PLACE",
            "state": "NY",
            "postal_code": "115141718",
            "telephone_number": "516-333-7771",
            "fax_number": "516-333-3463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLE PLACE SPORT & ORTHOPEDIC PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "MADEY",
        "authorized_official_first_name": "LES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-333-7771",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Carle Place, NY
• Providers in Carle Place, 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 5, 2012; 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.