NPIMap

Organization Active NPI

North Island Physical Therapy, PC

  • Specialist
  • Stony Brook, NY
National Provider Identifier
1326131392
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0167201 Issued in NY
Legal business name
NORTH ISLAND PHYSICAL THERAPY, PC
Practice address
2500 Nesconset Hwy.
BLDG. 22B
Stony Brook, NY 11790
Phone
(631) 751-7988
Fax
(631) 751-7989
NPI assigned
Oct 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mark C Marino, MA, PTNPI 1295828275
Title
Ceo
Phone
(631) 751-7988

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
Specialist 174400000X 0167201 NY Primary

Addresses

Primary practice location

2500 Nesconset Hwy.
BLDG. 22B
Stony Brook, NY 11790

Mailing address

2500 Nesconset Hwy.
BLDG. 22B
Stony Brook, NY 11790
Phone (631) 751-7988

National Provider Directory

National Provider Directory

Locations

1320 Stony Brook Rd
Ste 27
Stony Brook, NY 11790
Phone (631) 689-7069

2500 Nesconset Hwy
Bldg 22B
Stony Brook, NY 11790
Phone (631) 751-7988

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326131392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY.",
            "address_2": "BLDG. 22B",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "11790",
            "telephone_number": "631-751-7988",
            "fax_number": "631-751-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY.",
            "address_2": "BLDG. 22B",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "11790",
            "telephone_number": "631-751-7988",
            "fax_number": "631-751-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH ISLAND PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARINO",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "631-751-7988",
        "authorized_official_credential": "MA, PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "0167201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.