Bright Bay Physical Therapy P.C.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

012480 Issued in NY

Legal business name

BRIGHT BAY PHYSICAL THERAPY P.C.

Practice address

160 Orinoco Dr
Brightwaters, NY 11718-1307

Phone

(631) 665-9056

Fax

(631) 665-9058

NPI assigned

Jan 21, 2009

Last updated

Jan 21, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Raymond Mattfeld, PTNPI 1487790689

Title

Owner

Phone

(631) 665-9056

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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.

• Raymond Francis Mattfeld, P.T., A.T.C

  • Orthopedic Physical Therapist
  • Brightwaters, NY
  • NPI 1487790689
  Medicare reassignment NPD Authorized official
• Alexandra Galiano-Presti

  • Physical Therapist
  • Manorville, NY
  • NPI 1083751812
  NPD (past)

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1386882835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 ORINOCO DR",
            "city": "BRIGHTWATERS",
            "state": "NY",
            "postal_code": "117181307",
            "telephone_number": "631-665-9056",
            "fax_number": "631-665-9058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 ORINOCO DR",
            "city": "BRIGHTWATERS",
            "state": "NY",
            "postal_code": "117181307",
            "telephone_number": "631-665-9056",
            "fax_number": "631-665-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT BAY PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "MATTFELD",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-665-9056",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "012480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert James Balzarano, LCSW
• Angela Lauria Baumann, D.O.
• Brianna Lee Blaskey, PA-C
• Julia Dlhopolsky Block, MD
• Joanne Brennan, RN, CPN
• Bright Water Medical Procedure Suite, PLLC
• Andrew Burton
• Paul Cain, D.D.S.
• Care First Anesthesia Professionals, PLLC
• Catherine M Carey, RDN

• Physical Therapy Clinic/Center in Brightwaters, NY
• Providers in Brightwaters, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.