Active NPI
Momentum Physical Therapy of New York PLLC
- Physical Therapy Clinic/Center
- Holbrook, NY
National Provider Identifier
1265025654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- MOMENTUM PHYSICAL THERAPY OF NEW YORK PLLC
- Practice address
- 318 Singingwood Dr
Holbrook, NY 11741-2829 - Phone
- (607) 759-4035
- NPI assigned
- Feb 16, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brooks Comeno, PT
- Title
- Owner
- Phone
- (607) 759-4035
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
318 Singingwood Dr
Holbrook, NY 11741-2829
Mailing address
318 Singingwood Dr
Holbrook, NY 11741-2829
Phone (607) 759-4035
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04328112 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- East Patchogue, NY
- NPI 1083904676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613433600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613433600000",
"number": "1265025654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "318 SINGINGWOOD DR",
"city": "HOLBROOK",
"state": "NY",
"postal_code": "117412829",
"telephone_number": "607-759-4035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 SINGINGWOOD DR",
"city": "HOLBROOK",
"state": "NY",
"postal_code": "117412829",
"telephone_number": "607-759-4035"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOMENTUM PHYSICAL THERAPY OF NEW YORK PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-16",
"last_updated": "2021-02-16",
"certification_date": "2021-02-16",
"status": "A",
"authorized_official_last_name": "COMENO",
"authorized_official_first_name": "BROOKS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "607-759-4035",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04328112",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Holbrook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.