NPIMap

Organization Active NPI

All-Star Physical Therapy,PC

  • Physical Therapy Clinic/Center
  • Syosset, NY
National Provider Identifier
1376741629
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
020985 Issued in NY
Legal business name
ALL-STAR PHYSICAL THERAPY,PC
Practice address
567 Jericho Tpke
Suite 202
Syosset, NY 11791-4505
Phone
(516) 364-6720
Fax
(516) 364-6722
NPI assigned
Jul 9, 2007
Last updated
Mar 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Authorized official

Name
Mr. Michael Brigandi, MSPTNPI 1154377992
Title
Owner
Phone
(516) 364-6720

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 020985 NY Primary

Addresses

Primary practice location

567 Jericho Tpke
Suite 202
Syosset, NY 11791-4505

Mailing address

567 Jericho Tpke
Suite 202
Syosset, NY 11791-4505
Phone (516) 364-6720

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040326000209 NY Part B Supplier - Clinic/Group Practice 6305738246 Receives reassigned benefits from 3 practitioners
Practice locations: Seaford, NY; Syosset, NY

National Provider Directory

National Provider Directory

Locations

567 Jericho Tpke
Ste 202
Syosset, NY 11791
Phone (516) 364-6720

Practitioners & affiliated clinicians

Practitioners 8

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": "1183939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1376741629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 JERICHO TPKE",
            "address_2": "SUITE 202",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914505",
            "telephone_number": "516-364-6720",
            "fax_number": "516-364-6722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 JERICHO TPKE",
            "address_2": "SUITE 202",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914505",
            "telephone_number": "516-364-6720",
            "fax_number": "516-364-6722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL-STAR PHYSICAL THERAPY,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-09",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "BRIGANDI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-364-6720",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "020985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.