Family Orthopaedic & Sports Physical Therapy, PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

015072 Issued in NY

Legal business name

FAMILY ORTHOPAEDIC & SPORTS PHYSICAL THERAPY, PLLC

Practice address

450 Plandome Rd
Suite 101
Manhasset, NY 11030-1937

Phone

(516) 684-3404

Fax

(516) 684-3408

NPI assigned

Feb 26, 2007

Last updated

Nov 29, 2007By 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. Michael P O'Connor, P.TNPI 1639161151

Title

Owner

Phone

(516) 684-3404

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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.

• Michael P Oconnor, PT

  • Physical Therapist
  • Manhasset, NY
  • NPI 1639161151
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1427184969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 PLANDOME RD",
            "address_2": "SUITE 101",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110301937",
            "telephone_number": "516-684-3404",
            "fax_number": "516-684-3408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 PLANDOME RD",
            "address_2": "SUITE 101",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110301937",
            "telephone_number": "516-684-3404",
            "fax_number": "516-684-3408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY ORTHOPAEDIC & SPORTS PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-684-3404",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "015072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert J Faigen, M.D.
• Carina Falco, CPNP
• John Fallon, MD
• Tracy Falodun
• Nicole Ashley Famiglietti, PA-C
• Theresa C Fan, D.D.S.
• Temiloluwa Fiyinfoluwa Faokunla
• Bruce Farber, MD
• Melissa Lyn Farina, PT, MS
• Peter Farmer, MD

• Physical Therapy Clinic/Center in Manhasset, NY
• Providers in Manhasset, 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 Nov 29, 2007; 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.