Organization Active NPI

Soundside Physical Therapy Homecare, P.C.

  • Physical Therapist
  • Locust Valley, NY
National Provider Identifier
1437258266
Registry record updated Jul 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
020499 Issued in NY
Legal business name
SOUNDSIDE PHYSICAL THERAPY HOMECARE, P.C.
Practice address
146 Birch Hill Rd
Locust Valley, NY 11560-1833
Phone
(516) 759-9717
Fax
(516) 759-1666
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2009

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

Authorized official

Name
Mr. Keith Kalenderian
Title
Office Manager
Phone
(516) 759-9717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 020499 NY Primary

Addresses

Primary practice location

146 Birch Hill Rd
Locust Valley, NY 11560-1833

Mailing address

146 Birch Hill Rd
Locust Valley, NY 11560-1833
Phone (516) 759-9717

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248825600000",
    "number": "1437258266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 BIRCH HILL RD",
            "city": "LOCUST VALLEY",
            "state": "NY",
            "postal_code": "115601833",
            "telephone_number": "516-759-9717",
            "fax_number": "516-759-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 BIRCH HILL RD",
            "city": "LOCUST VALLEY",
            "state": "NY",
            "postal_code": "115601833",
            "telephone_number": "516-759-9717",
            "fax_number": "516-759-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUNDSIDE PHYSICAL THERAPY HOMECARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2009-07-29",
        "status": "A",
        "authorized_official_last_name": "KALENDERIAN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "516-759-9717",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "020499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Locust Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; 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.