Dix Hills Physical Therapy, PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

020147 Issued in NY

Legal business name

DIX HILLS PHYSICAL THERAPY, PC

Practice address

1206 E Jericho Tpke Unit a
Huntington, NY 11743-5453

Phone

(631) 549-1550

Fax

(631) 549-1562

NPI assigned

Aug 25, 2011

Organization subpart

No

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

Authorized official

Name

Henrique Dossantos, P.T.NPI 1730116393

Title

Physical Therapist

Phone

(631) 549-1550

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 4

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

• Henrique Dossantos

  • Physical Therapist
  • Huntington, NY
  • NPI 1730116393

  NY, Physical Therapist

  Medicare reassignment NPD Authorized official
• Micholanne Olney, PT

  • Physical Therapist
  • Huntington, NY
  • NPI 1821324435
  NPD (past)
• John W Titcomb, P.T.

  • Physical Therapist
  • Huntington, NY
  • NPI 1023162302
  NPD (past)
• Dawn H Yablonski, P.T.

  • Physical Therapist
  • Huntington, NY
  • NPI 1114072139
  NPD (past)

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314230400000",
    "number": "1275813990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 E JERICHO TPKE UNIT A",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117435453",
            "telephone_number": "631-549-1550",
            "fax_number": "631-549-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 E JERICHO TPKE UNIT A",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117435453",
            "telephone_number": "631-549-1550",
            "fax_number": "631-549-1562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIX HILLS PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-25",
        "last_updated": "2011-08-25",
        "status": "A",
        "authorized_official_last_name": "DOSSANTOS",
        "authorized_official_first_name": "HENRIQUE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "631-549-1550",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "020147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Leo Dio, P.T.
• Randi Diprima, MSPT
• Direct House Medical PLLC
• Nicholas Discala, DPM
• Tetyana Divinskiy, MD
• Vedan Djesevic, M.D.
• Shirley Doctor, PT
• Zinnia Dodson
• Lisa Doherty
• Jessie Christene Dolan

• All providers in Huntington, NY
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; 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.