Active NPI
Levittown PT, Family Health NP, Acupuncture and Chiropractic PLLC
- Physical Therapist
- Levittown, NY
National Provider Identifier
1265045033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- LEVITTOWN PT, FAMILY HEALTH NP, ACUPUNCTURE AND CHIROPRACTIC PLLC
- Practice address
- 150 Gardiners Ave
Levittown, NY 11756-3707 - Phone
- (631) 242-4500
- Fax
- (631) 242-0885
- NPI assigned
- Aug 31, 2020
- 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
- Jack J Tesoriero
- Title
- Owner
- Phone
- (631) 680-2166
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | |||
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
150 Gardiners Ave
Levittown, NY 11756-3707
Mailing address
2103 Deer Park Ave
Deer Park, NY 11729-1317
Phone (631) 242-4500
Other names 1
- Levittown PTDC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598832000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598832000000",
"number": "1265045033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2103 DEER PARK AVE",
"city": "DEER PARK",
"state": "NY",
"postal_code": "117291317",
"telephone_number": "631-242-4500",
"fax_number": "631-242-0885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 GARDINERS AVE",
"city": "LEVITTOWN",
"state": "NY",
"postal_code": "117563707",
"telephone_number": "631-242-4500",
"fax_number": "631-242-0885"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEVITTOWN PT, FAMILY HEALTH NP, ACUPUNCTURE AND CHIROPRACTIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-31",
"last_updated": "2020-08-31",
"certification_date": "2020-08-31",
"status": "A",
"authorized_official_last_name": "TESORIERO",
"authorized_official_first_name": "JACK",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "631-680-2166"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Levittown PTDC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Levittown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.