Organization Active NPI

Bayside Physical Therapy, Chiropractic & Acupuncture PLLC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Bayside, NY
National Provider Identifier
1407185341
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
Legal business name
BAYSIDE PHYSICAL THERAPY, CHIROPRACTIC & ACUPUNCTURE PLLC
Practice address
21315 33Rd Rd
Bayside, NY 11361-1508
Phone
(800) 750-8616
NPI assigned
Dec 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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

Authorized official

Name
Lawrence Lefcort, DC
Title
Owner
Phone
(845) 362-8400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081S0010X Primary

Addresses

Primary practice location

21315 33Rd Rd
Bayside, NY 11361-1508

Mailing address

PO Box 604795
Bayside, NY 11360-4795
Phone (800) 750-8616

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100505000076 NY Part B Supplier - Clinic/Group Practice 3779611231 Receives reassigned benefits from 1 practitioner
Practice locations: Bayside, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1261526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411430400000",
    "number": "1407185341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 604795",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113604795",
            "telephone_number": "800-750-8616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21315 33RD RD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113611508",
            "telephone_number": "800-750-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE PHYSICAL THERAPY, CHIROPRACTIC & ACUPUNCTURE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-23",
        "last_updated": "2014-09-23",
        "status": "A",
        "authorized_official_last_name": "LEFCORT",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-362-8400",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; 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.