NPIMap

Organization Active NPI

Dynamic Core Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Freeport, NY
National Provider Identifier
1275709073
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
022391 Issued in NY
Legal business name
DYNAMIC CORE PHYSICAL THERAPY PC
Practice address
24 W Merrick Rd
Freeport, NY 11520-3827
Phone
(516) 377-7213
NPI assigned
May 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Authorized official

Name
Daniel Cieleski
Title
Director
Phone
(516) 889-1880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 022391 NY Primary

Addresses

Primary practice location

24 W Merrick Rd
Freeport, NY 11520-3827

Mailing address

507 W Beech St
Long Beach, NY 11561-3009

National Provider Directory

National Provider Directory

Locations

24 W Merrick Rd
Freeport, NY 11520
Phone (516) 377-7213

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1275709073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 W BEECH ST",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 W MERRICK RD",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203827",
            "telephone_number": "516-377-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC CORE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "CIELESKI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "516-889-1880"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "022391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.