Organization Active NPI

Movement Potential Physical Therapy PLLC

  • Physical Therapist
  • Wantagh, NY
National Provider Identifier
1447805767
Registry record updated Aug 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MOVEMENT POTENTIAL PHYSICAL THERAPY PLLC
Practice address
1765 Merikoke Ave
Wantagh, NY 11793-3311
Phone
(516) 297-5581
NPI assigned
Aug 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2019

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

Authorized official

Name
Dr. William F Ott, DPT, CSCS
Title
Owner
Phone
(516) 297-5581

Specialties & licenses 1

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

Addresses

Primary practice location

1765 Merikoke Ave
Wantagh, NY 11793-3311

Mailing address

1765 Merikoke Ave
Wantagh, NY 11793-3311
Phone (516) 297-5581

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1564876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564876800000",
    "number": "1447805767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1765 MERIKOKE AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933311",
            "telephone_number": "516-297-5581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1765 MERIKOKE AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933311",
            "telephone_number": "516-297-5581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVEMENT POTENTIAL PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-04",
        "last_updated": "2019-08-04",
        "status": "A",
        "authorized_official_last_name": "OTT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-297-5581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT, CSCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wantagh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2019; 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.