Active NPI
Fit for Life Physical Therapy PC
- Physical Medicine & Rehabilitation Physician
- Bellmore, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 013149
- Legal business name
- FIT FOR LIFE PHYSICAL THERAPY PC
- Practice address
- 2473 Merrick Rd
Bellmore, NY 11710-5705 - Phone
- (516) 804-9078
- Fax
- (516) 804-9081
- NPI assigned
- Nov 14, 2006
- Last updated
- Feb 4, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Russell J Poker, PT
- Title
- Owner
- Phone
- (516) 804-9078
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 013149 | NY | Primary |
Addresses
Primary practice location
2473 Merrick Rd
Bellmore, NY 11710-5705
Mailing address
2473 Merrick Rd
Bellmore, NY 11710-5705
Phone (516) 804-9078
National Provider Directory
National Provider DirectoryLocations
2471 Merrick Rd
Bellmore, NY 11710
Phone (516) 804-9078
2473 Merrick Rd
Bellmore, NY 11710
Phone (516) 679-2225
3051 Jericho Tpke
East Northport, NY 11731
Phone (516) 804-9078
1575 Hillside Ave
Ste 208
New Hyde Park, NY 11040
Phone (516) 352-6936
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Physical Therapist
- Great Neck, NY
- NPI 1669544797
-
- Chiropractor
- Bellmore, NY
- NPI 1144361312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1296777600000",
"number": "1447322599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2473 MERRICK RD",
"city": "BELLMORE",
"state": "NY",
"postal_code": "117105705",
"telephone_number": "516-804-9078",
"fax_number": "516-804-9081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2473 MERRICK RD",
"city": "BELLMORE",
"state": "NY",
"postal_code": "117105705",
"telephone_number": "516-804-9078",
"fax_number": "516-804-9081"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIT FOR LIFE PHYSICAL THERAPY PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-14",
"last_updated": "2011-02-04",
"status": "A",
"authorized_official_last_name": "POKER",
"authorized_official_first_name": "RUSSELL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "516-804-9078",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "013149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellmore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.