Organization Active NPI

Southampton Hospital

Doing business as Sports Rehab East Hampotn

  • Rehabilitation Hospital
  • East Hampton, NY
National Provider Identifier
1346391323
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
SOUTHAMPTON HOSPITAL
Doing business as
Sports Rehab East Hampotn
Practice address
Sports Rehab East Hampton
470 Pantigo Rd
East Hampton, NY 11937
Phone
(631) 329-6420
Fax
(631) 329-6824
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Beth Sutton
Title
Business Manager
Phone
(631) 726-8514

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X NY Primary

Addresses

Primary practice location

Sports Rehab East Hampton
470 Pantigo Rd
East Hampton, NY 11937

Mailing address

Sports Rehab East Hampton
470 Pantigo Rd
East Hampton, NY 11937
Phone (631) 329-6420

Other identifiers 5

IdentifierTypeStateIssuer
719515OtherNYAETNA
00274406MedicaidNY
32801OtherNYCIGNA ORTHONET
A1133601OtherNYOXFORD
58418OtherNYVYTRA

Other names 1

  • SPORTS REHAB EAST HAMPOTN Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Southampton Hospital Association5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1346391323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SPORTS REHAB EAST HAMPTON",
            "address_2": "470 PANTIGO RD",
            "city": "EAST HAMPTON",
            "state": "NY",
            "postal_code": "11937",
            "telephone_number": "631-329-6420",
            "fax_number": "631-329-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SPORTS REHAB EAST HAMPTON",
            "address_2": "470 PANTIGO RD",
            "city": "EAST HAMPTON",
            "state": "NY",
            "postal_code": "11937",
            "telephone_number": "631-329-6420",
            "fax_number": "631-329-6824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHAMPTON HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "631-726-8514",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "719515",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00274406",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA ORTHONET",
            "identifier": "32801",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "A1133601",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA",
            "identifier": "58418",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPORTS REHAB EAST HAMPOTN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Hampton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.