NPIMap

Organization Active NPI

Physical Therapy and Aquatics by the Sea, PLLC

Doing business as Metro Physical Therapy and Aqua by the Sea

  • Physical Therapist
  • Oceanside, NY
National Provider Identifier
1427084284
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
005253-1 Issued in NY
Legal business name
PHYSICAL THERAPY AND AQUATICS BY THE SEA, PLLC
Doing business as
Metro Physical Therapy and Aquatics by the Sea
Practice address
11 Neil CT
Inside Sunrise Center
Oceanside, NY 11572-5815
Phone
(516) 766-0505
Fax
(516) 766-0680
NPI assigned
Jun 24, 2006
Last updated
Jan 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Authorized official

Name
Mrs. Jay Scheurer
Title
Owner
Phone
(516) 766-0505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 005253-1 NY Primary

Addresses

Primary practice location

11 Neil CT
Inside Sunrise Center
Oceanside, NY 11572-5815

Mailing address

15 Neil CT
Inside Friedberg JCC
Oceanside, NY 11572-5815
Phone (516) 766-0505

Other practice location 1

309 W Park Ave
Long Beach, NY 11561-3241
Phone (516) 568-7858

Other names 2

  • METRO PHYSICAL THERAPY AND AQUA BY THE SEA Former legal business name
  • METRO PHYSICAL THERAPY AND AQUATICS BY THE SEA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050526000332 NY Part B Supplier - Clinic/Group Practice 8426090705 Receives reassigned benefits from 7 practitioners
Practice locations: Oceanside, NY; Long Beach, NY
O20220307000618 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8426090705 Receives reassigned benefits from 4 practitioners
Practice locations: Oceanside, NY

National Provider Directory

National Provider Directory
Tax ID family
Physical Therapy and Aquatics by the Sea PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

99 The Plz
Ste 3
Atlantic Beach, NY 11509
Phone (516) 220-5891

309 W Park Ave
Long Beach, NY 11561
Phone (516) 568-7858

11 Neil Ct
Oceanside, NY 11572
Phone (516) 766-0505

Practitioners & affiliated clinicians

Practitioners 10

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": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641427200000",
    "number": "1427084284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 NEIL CT",
            "address_2": "INSIDE FRIEDBERG JCC",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725815",
            "telephone_number": "516-766-0505",
            "fax_number": "516-766-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 NEIL CT",
            "address_2": "INSIDE SUNRISE CENTER",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725815",
            "telephone_number": "516-766-0505",
            "fax_number": "516-766-0680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 W Park Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "NY",
            "postal_code": "115613241",
            "country_code": "US",
            "telephone_number": "516-568-7858",
            "fax_number": "516-766-0680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHYSICAL THERAPY AND AQUATICS BY THE SEA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A",
        "authorized_official_last_name": "SCHEURER",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-766-0505",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "005253-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "METRO PHYSICAL THERAPY AND AQUA BY THE SEA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "METRO PHYSICAL THERAPY AND AQUATICS BY THE SEA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "METRO PHYSICAL THERAPY AND AQUA BY THE SEA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Oceanside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.