NPIMap

Organization Active NPI

South Shore Pediatric Physical Therapy,LLP

  • Pediatric Physical Therapist
  • North Bellmore, NY
National Provider Identifier
1447479563
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
Legal business name
SOUTH SHORE PEDIATRIC PHYSICAL THERAPY,LLP
Practice address
2415 Jerusalem Ave
Suite 106
North Bellmore, NY 11710-1870
Phone
(516) 785-5257
Fax
(516) 785-5154
NPI assigned
Apr 25, 2007
Last updated
Aug 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2013

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

Authorized official

Name
Linda J Finneran, PT,DPT,PCSNPI 1346306594
Title
Owner
Phone
(516) 785-5257

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X NU Primary

Addresses

Primary practice location

2415 Jerusalem Ave
Suite 106
North Bellmore, NY 11710-1870

Mailing address

2415 Jerusalem Ave
Suite 106
North Bellmore, NY 11710-1870
Phone (516) 785-5257

National Provider Directory

National Provider Directory
Tax ID family
South Shore Pediatric Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2415 Jerusalem Ave
Ste 106
North Bellmore, NY 11710
Phone (516) 672-5927

Practitioners & affiliated clinicians

Practitioners 6

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": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375833600000",
    "number": "1447479563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 JERUSALEM AVE",
            "address_2": "SUITE 106",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117101870",
            "telephone_number": "516-785-5257",
            "fax_number": "516-785-5154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 JERUSALEM AVE",
            "address_2": "SUITE 106",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117101870",
            "telephone_number": "516-785-5257",
            "fax_number": "516-785-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE PEDIATRIC PHYSICAL THERAPY,LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2013-08-07",
        "status": "A",
        "authorized_official_last_name": "FINNERAN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-785-5257",
        "authorized_official_credential": "PT,DPT,PCS"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bellmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; 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.