Organization Active NPI

Island Shore Physical Therapy LLP

  • Orthopedic Physical Therapist
  • East Islip, NY
National Provider Identifier
1265190425
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
ISLAND SHORE PHYSICAL THERAPY LLP
Practice address
174 E Main St
East Islip, NY 11730-2633
Phone
(631) 277-9283
Fax
(631) 277-9394
NPI assigned
Dec 6, 2021
Last updated
Dec 6, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
ISLAND SHORE PHYSICAL THERAPY LLPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Authorized official

Name
Megan McKiernan
Title
Office Manager
Phone
(631) 277-9283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X Primary

Addresses

Primary practice location

174 E Main St
East Islip, NY 11730-2633

Mailing address

174 E Main St
East Islip, NY 11730-2633
Phone (631) 277-9283

Other practice location 1

256 Knickerbocker Ave Ste A
Bohemia, NY 11716-3173
Phone (631) 277-9283 ext. 202

National Provider Directory

National Provider Directory
Tax ID family
Nicole Gick4 organizations share this tax ID, including this one
Part of
Nicole Gick

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

256 Knickerbocker Ave
Ste A
Bohemia, NY 11716
Phone (631) 235-4147

174 E Main St
East Islip, NY 11730
Phone (631) 277-9283

NPI Registry JSON

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638748800000",
    "number": "1265190425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 E MAIN ST",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302633",
            "telephone_number": "631-277-9283",
            "fax_number": "631-277-9394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 E MAIN ST",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302633",
            "telephone_number": "631-277-9283",
            "fax_number": "631-277-9394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "256 Knickerbocker Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Bohemia",
            "state": "NY",
            "postal_code": "117163173",
            "country_code": "US",
            "telephone_number": "631-277-9283 x202",
            "fax_number": "631-277-9394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ISLAND SHORE PHYSICAL THERAPY LLP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ISLAND SHORE PHYSICAL THERAPY LLP",
        "enumeration_date": "2021-12-06",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A",
        "authorized_official_last_name": "MCKIERNAN",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "631-277-9283"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.

Verify at the official NPI Registry.