Stallion Physical Therapy, PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

029106 Issued in NY

Legal business name

STALLION PHYSICAL THERAPY, PC

Practice address

590 Nicolls Rd
Deer Park, NY 11729-3217

Phone

(631) 392-1283

NPI assigned

Nov 10, 2016

Last updated

Nov 10, 2016By 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

Susan L PO-Almedilla, DPTNPI 1639528904

Title

Owner

Phone

(347) 653-1389

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Susan PO-Almedilla, DPT

  • Physical Therapist
  • East Meadow, NY
  • NPI 1639528904
  NPD (past) Authorized official
• Alanro Almedilla

  • Physical Therapist
  • Deer Park, NY
  • NPI 1922540947
  NPD (past)

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

{
    "created_epoch": "1478736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478736000000",
    "number": "1346782158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 ERMA DR",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541119",
            "telephone_number": "347-653-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 NICOLLS RD",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117293217",
            "telephone_number": "631-392-1283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STALLION PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-10",
        "last_updated": "2016-11-10",
        "status": "A",
        "authorized_official_last_name": "PO-ALMEDILLA",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-653-1389",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "029106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Spitz
• Catherine St Julien
• Nadia St. Martin II
• Stabile Podiatry PC
• Robert Joseph Stabile, D.P.M.
• Jay I Starr, MD
• Catherine Stinsman, NURSE PRACTITIONER
• Suffolk Cardiovascular Consultants PC
• Suffolk Cardiovascular Consultants, PLLC
• Matabay Solaiman Suib-Siong

• Physical Therapy Clinic/Center in Deer Park, NY
• Providers in Deer Park, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; 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.