Active NPI
Comprehensive Physical Therapy, P.C.
- Physical Therapist
- Commack, NY
National Provider Identifier
1275710469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 012547-1
- 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
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, OCS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Orthopedic Physical Therapist
- Commack, NY
- NPI 1467544924
-
- Physical Therapist
- Commack, NY
- NPI 1730134875
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.