Core Physical Therapy & Rehabilitation, PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

022801-1 Issued in NY

Legal business name

CORE PHYSICAL THERAPY & REHABILITATION, PC

Practice address

23 Whitney Dr
Amityville, NY 11701-3324

Phone

(516) 445-8841

Fax

(631) 592-9894

NPI assigned

Aug 12, 2014

Last updated

Aug 12, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Diane Gaidon, PTNPI 1710105804

Title

Owner

Phone

(516) 445-8841

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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.

• Diane Gaidon, PT,MS,OCS,CFMT

  • Physical Therapist
  • Amityville, NY
  • NPI 1710105804
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1326457607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 WHITNEY DR",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117013324",
            "telephone_number": "516-445-8841",
            "fax_number": "631-592-9894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 WHITNEY DR",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117013324",
            "telephone_number": "516-445-8841",
            "fax_number": "631-592-9894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE PHYSICAL THERAPY & REHABILITATION, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-12",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "GAIDON",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-445-8841",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022801-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dolores Conroy, OCSW
• Islande Constant, RN
• Kayla Arielle Cooper, LMSW
• Lakeshia Cooper
• Syisha Cooper, LPN
• Gina Cornwall, NP
• Kealy Ann Costigan
• Kevin Cotterell, MD
• County of Suffolk (Tri-Community-Maxine S Postal Health Center)
• Couples Compass

• Physical Therapist in Amityville, NY
• Providers in Amityville, 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 Aug 12, 2014; 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.