Organization Active NPI

Comprehensive Physical Therapy, P.C.

  • Physical Therapist
  • Commack, NY
National Provider Identifier
1275710469
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
012547-1 Issued in NY
Legal business name
COMPREHENSIVE PHYSICAL THERAPY, P.C.
Practice address
6268 Jericho Tpke
Suite 3
Commack, NY 11725-2810
Phone
(631) 543-9300
Fax
(631) 462-1166
NPI assigned
Jan 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2008

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

Authorized official

Name
Mr. Joseph Gruber Hayes Jr., DPT, PT, MA, OCSNPI 1467544924
Title
President
Phone
(631) 543-9300

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 012547-1 NY Primary

Addresses

Primary practice location

6268 Jericho Tpke
Suite 3
Commack, NY 11725-2810

Mailing address

6268 Jericho Tpke
Suite 3
Commack, NY 11725-2810
Phone (631) 543-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130418000229 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6204072234 Receives reassigned benefits from 1 practitioner
Practice locations: Commack, NY

National Provider Directory

National Provider Directory

Locations

6268 Jericho Tpke
Ste 34
Commack, NY 11725
Phone (631) 543-9300

Practitioners & affiliated clinicians

Practitioners 2

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": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1275710469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6268 JERICHO TPKE",
            "address_2": "SUITE 3",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252810",
            "telephone_number": "631-543-9300",
            "fax_number": "631-462-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6268 JERICHO TPKE",
            "address_2": "SUITE 3",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252810",
            "telephone_number": "631-543-9300",
            "fax_number": "631-462-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-30",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "GRUBER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-543-9300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPT, PT, MA, OCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "012547-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; 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.