NPIMap

Organization Active NPI

Farmingdale Physical Therapy Assoc PC

  • Physical Medicine & Rehabilitation Physician
  • Famingdale, NY
National Provider Identifier
1386622553
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
FARMINGDALE PHYSICAL THERAPY ASSOC PC
Practice address
326 Main Street
Famingdale, NY 11735
Phone
(516) 293-0565
Fax
(516) 293-1897
NPI assigned
Jan 6, 2006
Last updated
Apr 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Authorized official

Name
John C Dugan, PT OCS NCS GCSNPI 1841279817
Title
Owner Partner
Phone
(516) 293-0565

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 Medicine & Rehabilitation Physician 208100000X Primary

Addresses

Primary practice location

326 Main Street
Famingdale, NY 11735

Mailing address

326 Main Street
Famingdale, NY 11735
Phone (516) 293-0565

Other identifiers 1

IdentifierTypeStateIssuer
DF3866OtherNYRR MEDICARE

National Provider Directory

National Provider Directory

Locations

326 Main St
#328
Farmingdale, NY 11735
Phone (516) 293-0565

Practitioners & affiliated clinicians

Practitioners 11

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": "1136505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1386622553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 MAIN STREET",
            "city": "FAMINGDALE",
            "state": "NY",
            "postal_code": "11735",
            "telephone_number": "516-293-0565",
            "fax_number": "516-293-1897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 MAIN STREET",
            "city": "FAMINGDALE",
            "state": "NY",
            "postal_code": "11735",
            "telephone_number": "516-293-0565",
            "fax_number": "516-293-1897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMINGDALE PHYSICAL THERAPY ASSOC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-06",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "DUGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER PARTNER",
        "authorized_official_telephone_number": "516-293-0565",
        "authorized_official_credential": "PT OCS NCS GCS"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DF3866",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.