NPIMap

Organization Active NPI

Island Sports Physiotherapy of East Meadow PC

  • Physical Therapy Clinic/Center
  • Garden City, NY
National Provider Identifier
1356381669
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ISLAND SPORTS PHYSIOTHERAPY OF EAST MEADOW PC
Practice address
833-855 Franklin Ave.
Garden City, NY 11530
Phone
(516) 741-4555
Fax
(516) 741-4544
NPI assigned
Jun 7, 2006
Last updated
Oct 16, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
ISLAND SPORTS PHYSIOTHERAPY OF EAST MEADOW PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Authorized official

Name
Keith A May, P.T.NPI 1821034414
Title
President
Phone
(631) 462-9595

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)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

833-855 Franklin Ave.
Garden City, NY 11530

Mailing address

833-855 Franklin Ave.
Garden City, NY 11530
Phone (516) 741-4555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040130000912 NY Part B Supplier - Clinic/Group Practice 0547163008 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
Practice locations: East Meadow, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Island Sports PT of Eas

Practitioners & affiliated clinicians

Practitioners 5

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": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1356381669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833-855 FRANKLIN AVE.",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "11530",
            "telephone_number": "516-741-4555",
            "fax_number": "516-741-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833-855 FRANKLIN AVE.",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "11530",
            "telephone_number": "516-741-4555",
            "fax_number": "516-741-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND SPORTS PHYSIOTHERAPY OF EAST MEADOW PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ISLAND SPORTS PHYSIOTHERAPY OF EAST MEADOW PC",
        "enumeration_date": "2006-06-07",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "MAY",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-462-9595",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.