Organization Active NPI

Healthy at Home Physical Therapy, PC

  • Physical Therapist
  • Ridge, NY
National Provider Identifier
1346834801
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HEALTHY AT HOME PHYSICAL THERAPY, PC
Practice address
166 Lakeside TRL
Ridge, NY 11961-2246
Phone
(631) 300-0769
NPI assigned
Feb 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Authorized official

Name
Jim Megna
Title
Owner
Phone
(631) 300-0769

Specialties & licenses 1

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

Addresses

Primary practice location

166 Lakeside TRL
Ridge, NY 11961-2246

Mailing address

166 Lakeside TRL
Ridge, NY 11961-2246
Phone (631) 300-0769

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210310000540 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5092121491 Receives reassigned benefits from 1 practitioner
Practice locations: Ridge, NY

National Provider Directory

National Provider Directory
Tax ID family
Healthy at Home Physical Therapy PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1346834801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 LAKESIDE TRL",
            "city": "RIDGE",
            "state": "NY",
            "postal_code": "119612246",
            "telephone_number": "631-300-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 LAKESIDE TRL",
            "city": "RIDGE",
            "state": "NY",
            "postal_code": "119612246",
            "telephone_number": "631-300-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY AT HOME PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-25",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "MEGNA",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-300-0769"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.