Active NPI
Motion Dynamics Physical Therapy PC
- Physical Medicine & Rehabilitation Physician
- Patchogue, NY
National Provider Identifier
1306022272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- MOTION DYNAMICS PHYSICAL THERAPY PC
- Practice address
- 440 Waverly Ave Ste 5
Patchogue, NY 11772-1597 - Phone
- (631) 758-5700
- Fax
- (631) 758-7005
- NPI assigned
- Jan 10, 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. Stephan Ungar, PT
- Title
- President
- Phone
- (631) 758-5700
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 Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
440 Waverly Ave Ste 5
Patchogue, NY 11772-1597
Mailing address
440 Waverly Ave Ste 5
Patchogue, NY 11772-1597
Phone (631) 758-5700
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 139551P | Other | NY | HIP |
| P1939994 | Other | NY | OXFORD |
| P1948798 | Other | NY | OXFORD |
| Q86011 | Other | NY | BLUE CROSS |
| 2287876 | Other | NY | AETNA |
| 4364178 | Other | NY | AETNA |
| 20593P | Other | NY | HIP |
| AZ00653 | Other | NY | MDNY |
| 0220801 | Other | NY | AETNA / ORTHO NET |
| 5442410 | Other | NY | AETNA |
| 2284678 | Other | NY | AETNA |
| 1259717 | Other | NY | UNITED HEALTH CARE |
| 1380287 | Other | NY | UNITED HEALTH CARE |
| Q49881 | Other | NY | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
440 Waverly Ave
Ste 5
Patchogue, NY 11772
Phone (631) 758-5700
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Patchogue, NY
- NPI 1306955547
-
- Physical Therapist
- Patchogue, NY
- NPI 1326140328
-
- Physical Therapist
- Patchogue, NY
- NPI 1659581494
-
- Physical Therapist
- Patchogue, NY
- NPI 1487998084
-
- Physical Therapist
- Patchogue, NY
- NPI 1881730497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1306022272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 WAVERLY AVE STE 5",
"city": "PATCHOGUE",
"state": "NY",
"postal_code": "117721597",
"telephone_number": "631-758-5700",
"fax_number": "631-758-7005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 WAVERLY AVE STE 5",
"city": "PATCHOGUE",
"state": "NY",
"postal_code": "117721597",
"telephone_number": "631-758-5700",
"fax_number": "631-758-7005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOTION DYNAMICS PHYSICAL THERAPY PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-10",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "UNGAR",
"authorized_official_first_name": "STEPHAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "631-758-5700",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "139551P",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P1939994",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P1948798",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "Q86011",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2287876",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4364178",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "20593P",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDNY",
"identifier": "AZ00653",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA / ORTHO NET",
"identifier": "0220801",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5442410",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2284678",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "1259717",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "1380287",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "Q49881",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Patchogue, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.