Organization Active NPI

United Rehab Hands on Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Ronkonkoma, NY
National Provider Identifier
1285454298
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
UNITED REHAB HANDS ON PHYSICAL THERAPY, PLLC
Practice address
3075 Veterans Memorial Hwy Ste 101
Ronkonkoma, NY 11779-7600
Phone
(631) 805-2850
Fax
(631) 670-6475
NPI assigned
Oct 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Authorized official

Name
Shail Patel, PTNPI 1972151793
Title
Owner
Phone
(631) 790-3782

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 Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

3075 Veterans Memorial Hwy Ste 101
Ronkonkoma, NY 11779-7600

Mailing address

9 Westminster CT
Nesconset, NY 11767-1826

Other practice location 1

700 Horseblock Rd
Farmingville, NY 11738-1240
Phone (631) 805-2850

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241119003125 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2163957754 Receives reassigned benefits from 4 practitioners
Practice locations: Farmingville, NY; Ronkonkoma, NY

National Provider Directory

National Provider Directory

Locations

3075 Veterans Memorial Hwy
Ste 101
Ronkonkoma, NY 11779
Phone (631) 389-4640

Practitioners & affiliated clinicians

Practitioners 4

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": "1728864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1285454298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 WESTMINSTER CT",
            "city": "NESCONSET",
            "state": "NY",
            "postal_code": "117671826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 VETERANS MEMORIAL HWY STE 101",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797600",
            "telephone_number": "631-805-2850",
            "fax_number": "631-670-6475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Horseblock Rd",
            "address_purpose": "LOCATION",
            "city": "Farmingville",
            "state": "NY",
            "postal_code": "117381240",
            "country_code": "US",
            "telephone_number": "631-805-2850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNITED REHAB HANDS ON PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SHAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-790-3782",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ronkonkoma, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.