NPIMap

Organization Active NPI

Priority One Therapy PT OT SLP PLLC

Doing business as @Home Therapy

  • Rehabilitation Practitioner
  • Oceanside, NY
National Provider Identifier
1447517453
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Legal business name
PRIORITY ONE THERAPY PT OT SLP PLLC
Doing business as
@Home Therapy
Practice address
58 Thompson Ave
Oceanside, NY 11572-5016
Phone
(516) 448-6359
NPI assigned
Apr 15, 2012
Last updated
Oct 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Authorized official

Name
Mr. Russ Tavroff, OTRNPI 1902179708
Title
Owner
Phone
(718) 305-1190

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
Rehabilitation Practitioner 225400000X Primary

Addresses

Primary practice location

58 Thompson Ave
Oceanside, NY 11572-5016

Mailing address

58 Thompson Ave
Oceanside, NY 11572-5016
Phone (516) 448-6359

Other names 1

  • @Home Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120507000573 NY Part B Supplier - Clinic/Group Practice 0941462006 Receives reassigned benefits from 159 practitioners
Practice locations: Hewlett, NY

National Provider Directory

National Provider Directory

Locations

116 39th St
Brooklyn, NY 11232
Phone (718) 305-1190

1553 Broadway
#2
Hewlett, NY 11557

99 W Hawthorne Ave
Ste 210
Valley Stream, NY 11580
Phone (718) 305-1190

Practitioners & affiliated clinicians

Practitioners 179

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.

View all 179

NPI Registry JSON

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

{
    "created_epoch": "1334448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570492800000",
    "number": "1447517453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 THOMPSON AVE",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725016",
            "telephone_number": "516-448-6359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 THOMPSON AVE",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725016",
            "telephone_number": "516-448-6359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIORITY ONE THERAPY PT OT SLP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-15",
        "last_updated": "2019-10-08",
        "status": "A",
        "authorized_official_last_name": "TAVROFF",
        "authorized_official_first_name": "RUSS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-305-1190",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "@Home Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "@Home Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 8, 2019; 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.