NPIMap

Organization Active NPI

New York Physical and Occupational Therapy PLLC

  • Physical Therapy Clinic/Center
  • Woodmere, NY
National Provider Identifier
1356404198
Registry record updated May 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
NEW YORK PHYSICAL AND OCCUPATIONAL THERAPY PLLC
Practice address
158 Irving PL
Woodmere, NY 11598-1241
Phone
(516) 295-5550
Fax
(516) 295-2789
NPI assigned
Dec 19, 2006
Last updated
May 7, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
NEW YORK PHYSICAL AND OCCUPATIONAL THERAPY PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 7, 2009

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

Authorized official

Name
Ms. Irene Del Percio
Title
Operations Manager
Phone
(631) 665-8645

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X
Cardiopulmonary Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251C2600X
Geriatric Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251G0304X
Neurology Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251N0400X
Sports Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251S0007X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

158 Irving PL
Woodmere, NY 11598-1241

Mailing address

569 E Main Street
Bay Short, NY 11706-8505
Phone (631) 665-8645

National Provider Directory

National Provider Directory
Part of
Charo L Chan

Locations

2 Victory Ct
Newburgh, NY 12550
Phone (845) 522-5480

Practitioners & affiliated clinicians

Practitioners 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241654400000",
    "number": "1356404198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "569 E MAIN STREET",
            "city": "BAY SHORT",
            "state": "NY",
            "postal_code": "117068505",
            "telephone_number": "631-665-8645",
            "fax_number": "631-665-8646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 IRVING PL",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981241",
            "telephone_number": "516-295-5550",
            "fax_number": "516-295-2789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK PHYSICAL AND OCCUPATIONAL THERAPY PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW YORK PHYSICAL  AND OCCUPATIONAL THERAPY PLLC",
        "enumeration_date": "2006-12-19",
        "last_updated": "2009-05-07",
        "status": "A",
        "authorized_official_last_name": "DEL PERCIO",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "631-665-8645",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251C2600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Cardiopulmonary",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodmere, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; 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.