Active NPI
Southampton Hospital/Sports Rehab WH
Doing business as Sports Rehab WH
- Physical Therapist
- Westhampton Beach, NY
National Provider Identifier
1346323813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 004540-1
- Legal business name
- SOUTHAMPTON HOSPITAL/SPORTS REHAB WH
- Doing business as
- Sports Rehab WH
- Practice address
- 74 Old Riverhead Rd
Westhampton Beach, NY 11978 - Phone
- (631) 288-7767
- Fax
- (631) 288-7100
- NPI assigned
- Oct 20, 2006
- 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
- Mrs. Christine Smith-Barton, P.T.
- Title
- Physical Therapist/Site Leader
- Phone
- (631) 288-7767
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 Therapist | 225100000X | 004540-1 | NY | Primary |
Addresses
Primary practice location
74 Old Riverhead Rd
Westhampton Beach, NY 11978
Mailing address
74 Old Riverhead Rd
Westhampton Beach, NY 11978-1401
Phone (631) 288-7767
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022570 | Other | NY | HIP-PETER FISCINA, P.T. |
| QH5051 | Other | NY | BC-BS-EILEEN SOLJANICH,PT |
| QH5392 | Other | NY | BCBS-TONI WORMOLD,P.T. |
| 2365871 | Other | NY | AETNA |
| 6698019 | Other | NY | GHI-EILEEN SOLJANICH,P.T. |
| 018611 | Other | NY | HIP-TONI WORMOLD, P.T. |
| 32803 | Other | NY | US FAMILY HEALTH-SPORTS |
| 6698017 | Other | NY | GHI-CHRISTINE SMITHBARTON |
| AZ00175 | Other | NY | MDNY- |
| 015752-A64 | Other | NY | HEALTHFIRST-E.S.,P.T. |
| 32803 | Other | NY | CIGNA-SPORTS REHAB WH |
| 6698021 | Other | NY | GHI-PETER M. FISCINA, P.T |
| 00274406 | Medicaid | NY | |
| QN0681 | Other | NY | BCBS-PETER FISCINA,P.T. |
| 58418 | Other | NY | VYTRA |
| 6698016 | Other | NY | GHI-TONI L. WORMOLD,P.T. |
| QH5061 | Other | NY | BCBS CHRISTINESMITHBARTON |
| 6698018 | Other | NY | GHI-STEVE ZACHARSKI |
Other names 1
- SPORTS REHAB WH
National Provider Directory
National Provider Directory- Tax ID family
- Southampton Hospital Association
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1063551331
-
dba Sports Rehab East Hampotn
- Rehabilitation Hospital
- East Hampton, NY
- NPI 1346391323
-
- General Acute Care Hospital
- Farmingdale, NY
- NPI 1780979591
-
- Rehabilitation Hospital Unit
- Westhampton Beach, NY
- NPI 1962770602
Locations
470 Pantigo Rd
East Hampton, NY 11937
Phone (631) 329-5900
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Physical Therapist
- Westhampton Beach, NY
- NPI 1851461503
-
- Physical Therapist
- Westhampton Beach, NY
- NPI 1588734826
-
- Physical Therapist
- Westhampton Beach, NY
- NPI 1427128081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1346323813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 OLD RIVERHEAD RD",
"city": "WESTHAMPTON BEACH",
"state": "NY",
"postal_code": "119781401",
"telephone_number": "631-288-7767",
"fax_number": "631-288-7100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74 OLD RIVERHEAD RD",
"city": "WESTHAMPTON BEACH",
"state": "NY",
"postal_code": "11978",
"telephone_number": "631-288-7767",
"fax_number": "631-288-7100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHAMPTON HOSPITAL/SPORTS REHAB WH",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-20",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "SMITH-BARTON",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_title_or_position": "PHYSICAL THERAPIST/SITE LEADER",
"authorized_official_telephone_number": "631-288-7767",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NY",
"license": "004540-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP-PETER FISCINA, P.T.",
"identifier": "022570",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC-BS-EILEEN SOLJANICH,PT",
"identifier": "QH5051",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-TONI WORMOLD,P.T.",
"identifier": "QH5392",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2365871",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI-EILEEN SOLJANICH,P.T.",
"identifier": "6698019",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP-TONI WORMOLD, P.T.",
"identifier": "018611",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US FAMILY HEALTH-SPORTS",
"identifier": "32803",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI-CHRISTINE SMITHBARTON",
"identifier": "6698017",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDNY-",
"identifier": "AZ00175",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHFIRST-E.S.,P.T.",
"identifier": "015752-A64",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA-SPORTS REHAB WH",
"identifier": "32803",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI-PETER M. FISCINA, P.T",
"identifier": "6698021",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00274406",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-PETER FISCINA,P.T.",
"identifier": "QN0681",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VYTRA",
"identifier": "58418",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI-TONI L. WORMOLD,P.T.",
"identifier": "6698016",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS CHRISTINESMITHBARTON",
"identifier": "QH5061",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI-STEVE ZACHARSKI",
"identifier": "6698018",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SPORTS REHAB WH",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Westhampton Beach, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.