NPIMap

Organization Active NPI

Progress Physical Therapy, PC

  • Physical Therapist
  • Bay Shore, NY
National Provider Identifier
1285047399
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
009077-1 Issued in NY
Legal business name
PROGRESS PHYSICAL THERAPY, PC
Practice address
225 Howells Rd
2ND Floor
Bay Shore, NY 11706-5319
Phone
(631) 741-2001
Fax
(631) 750-3651
NPI assigned
Jun 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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

Authorized official

Name
Ms. Christina M Panetta, PHYSICAL THERAPIST
Title
President
Phone
(516) 398-3665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 009077-1 NY Primary

Addresses

Primary practice location

225 Howells Rd
2ND Floor
Bay Shore, NY 11706-5319

Mailing address

225 Howells Rd
2ND Floor
Bay Shore, NY 11706-5319
Phone (631) 741-2001

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1285047399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 HOWELLS RD",
            "address_2": "2ND FLOOR",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117065319",
            "telephone_number": "631-741-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 HOWELLS RD",
            "address_2": "2ND FLOOR",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117065319",
            "telephone_number": "631-741-2001",
            "fax_number": "631-750-3651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESS PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-05",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "PANETTA",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-398-3665",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "009077-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.