Active NPI
Stonybrook Southampton Hospital
- Orthopedic Physical Therapist
- Southampton, NY
National Provider Identifier
1376414904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- Legal business name
- STONYBROOK SOUTHAMPTON HOSPITAL
- Practice address
- 240 Meeting House LN
Southampton, NY 11968-5009 - Phone
- (631) 726-8520
- NPI assigned
- Sep 16, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nevin Johnson, PT,DPT
- Title
- Physical Therapist
- Phone
- (516) 368-4907
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | Primary |
Addresses
Primary practice location
240 Meeting House LN
Southampton, NY 11968-5009
Mailing address
240 Bernice Dr
East Meadow, NY 11554-3502
Phone (516) 368-4907
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopedic Physical Therapist
- Southampton, NY
- NPI 1639040256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757980800000",
"number": "1376414904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 BERNICE DR",
"city": "EAST MEADOW",
"state": "NY",
"postal_code": "115543502",
"telephone_number": "516-368-4907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 MEETING HOUSE LN",
"city": "SOUTHAMPTON",
"state": "NY",
"postal_code": "119685009",
"telephone_number": "631-726-8520"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STONYBROOK SOUTHAMPTON HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-16",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "NEVIN",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "516-368-4907",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PT,DPT"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southampton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.