Advantage Physical Therapy of Suffolk, P.C.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

010606 Issued in NY

Legal business name

ADVANTAGE PHYSICAL THERAPY OF SUFFOLK, P.C.

Practice address

156 4TH Ave
Bay Shore, NY 11706-7900

Phone

(631) 647-7194

NPI assigned

Jan 24, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Jaycie Senase, P.T.

Title

President

Phone

(631) 647-7194

Specialties & licenses 1

Addresses

Other names 1

• Advantage Physical Therapy of Suffolk Doing business as

Locations

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304640000000",
    "number": "1447555362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 4TH AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067900",
            "telephone_number": "631-647-7194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 4TH AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067900",
            "telephone_number": "631-647-7194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE PHYSICAL THERAPY OF SUFFOLK, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-24",
        "last_updated": "2011-05-06",
        "status": "A",
        "authorized_official_last_name": "SENASE",
        "authorized_official_first_name": "JAYCIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-647-7194",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "010606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advantage Physical Therapy of Suffolk",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Danielle Adamson
• Abimbola Adebajo
• Adenike Idowu Adewale, NP
• Dennis Adjei - Boateng, RN
• Stanley Adler
• Aniqa Aftabi
• Rita Aghjayan, MD
• Maureen Agoglia
• Claudia Casandra Aguirre Subauste, MSW-I
• Alisa Janet Ahern, LMSW

• Physical Therapy Clinic/Center in Bay Shore, NY
• Providers in Bay Shore, 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 May 6, 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.

Verify at the official NPI Registry.