Pelvic Muscle Physical Therapy, PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

002673-01 Issued in NY

Legal business name

PELVIC MUSCLE PHYSICAL THERAPY, PC

Practice address

300 Old Country Road
Suite 201
Mineola, NY 11501-4198

Phone

(516) 367-6069

Fax

(516) 876-9607

NPI assigned

Sep 16, 2006

Organization subpart

No

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

Authorized official

Name

Daniela Gutta Sondheimer Klein, PT

Title

President

Phone

(516) 367-6069

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

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

• Darren Thomas Mollo, D.C.

  • Chiropractor
  • Deer Park, NY
  • NPI 1255365821
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272326400000",
    "number": "1295831261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 BACON RD",
            "city": "OLD WESTBURY",
            "state": "NY",
            "postal_code": "115681503",
            "telephone_number": "516-367-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 OLD COUNTRY ROAD",
            "address_2": "SUITE 201",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014198",
            "telephone_number": "516-367-6069",
            "fax_number": "516-876-9607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELVIC MUSCLE PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2010-04-27",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "DANIELA",
        "authorized_official_middle_name": "GUTTA SONDHEIMER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-367-6069",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "002673-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN, UNITED HEALTH CARE",
            "identifier": "811010",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OSFORD HEALTH PLANS",
            "identifier": "A523322",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED PHYSICAL NETWORK",
            "identifier": "811010",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marina Pavlovic, NP-C
• Sherli Payamipour, PA
• Robert J. Peck, DPM
• Peernextgroup,Inc
• Abraham Peller, M.D.
• Robert Penaskovic, MSW
• Virginia Peragallo-Dittko, RN
• Pedro Pereira, CASAC
• Rosa F Pereira, DO
• Hiran Perera, MD

• Physical Therapist in Mineola, NY
• Providers in Mineola, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; 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.