Total Physical Therapy of Massapequa, PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

011295 Issued in NY

Legal business name

TOTAL PHYSICAL THERAPY OF MASSAPEQUA, PC

Practice address

200 Boundary Ave
Suite 205
Massapequa, NY 11758-1152

Phone

(516) 586-4766

Fax

(516) 586-4758

NPI assigned

Jul 29, 2014

Last updated

Jul 29, 2014By 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. Steven A Gazzo, MSPTNPI 1326361650

Title

Owner/Physical Therapist

Phone

(516) 586-4766

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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.

• Steven A Gazzo, MAPT

  • Physical Therapist
  • Massapequa, NY
  • NPI 1326361650
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406592000000",
    "number": "1255749727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BOUNDARY AVE",
            "address_2": "SUITE 205",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117581152",
            "telephone_number": "516-586-4766",
            "fax_number": "516-586-4758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BOUNDARY AVE",
            "address_2": "SUITE 205",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117581152",
            "telephone_number": "516-586-4766",
            "fax_number": "516-586-4758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL PHYSICAL THERAPY OF MASSAPEQUA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-29",
        "last_updated": "2014-07-29",
        "status": "A",
        "authorized_official_last_name": "GAZZO",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "516-586-4766",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "011295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Tochilovsky, RPH
• Alexis Toles
• Nicole M Toner, PHARMD
• Annemarie Rose Torre, OTR/L
• Total Orthopaedics and Sports Medicine, LLP
• Tranquil Touch
• Alexandra Treppin
• Triangle Medical, PC
• Tricia Aiello D.C.P.C.
• Alexa Tripodi, LMSW

• Physical Therapist in Massapequa, NY
• Providers in Massapequa, 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 Jul 29, 2014; 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.