NPIMap

Organization Active NPI

Suffolk Physical Therapy PC

Doing business as Nassau Suffolk Physical Therapy

  • Physical Therapist
  • Syosset, NY
National Provider Identifier
1336298801
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SUFFOLK PHYSICAL THERAPY PC
Doing business as
Nassau Suffolk Physical Therapy
Practice address
6800 Jericho Tpke
Suite 114W
Syosset, NY 11791-4436
Phone
(516) 364-2554
Fax
(516) 364-5328
NPI assigned
Jan 10, 2007
Last updated
Nov 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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

Authorized official

Name
Mr. William T Partridge, PTNPI 1861541328
Title
Owner
Phone
(516) 364-2554

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

6800 Jericho Tpke
Suite 114W
Syosset, NY 11791-4436

Mailing address

6800 Jericho Tpke
Suite 114W
Syosset, NY 11791-4436
Phone (516) 364-2554

Other identifiers 2

IdentifierTypeStateIssuer
ANC1486OtherNYOXFORD PIN NUMBER
0056198OtherNYAETNA PIN NUMBER

Other names 1

  • Nassau Suffolk Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

6800 Jericho Tpke
Ste 114W
Syosset, NY 11791
Phone (516) 364-2554

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1336298801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 JERICHO TPKE",
            "address_2": "SUITE 114W",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914436",
            "telephone_number": "516-364-2554",
            "fax_number": "516-364-5328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 JERICHO TPKE",
            "address_2": "SUITE 114W",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914436",
            "telephone_number": "516-364-2554",
            "fax_number": "516-364-5328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUFFOLK PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "PARTRIDGE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-364-2554",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD PIN NUMBER",
            "identifier": "ANC1486",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN NUMBER",
            "identifier": "0056198",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nassau Suffolk Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Syosset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; 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.