Regal Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

015470 Issued in NY

Legal business name

REGAL PHYSICAL THERAPY

Practice address

33 Neal Path
South Setauket, NY 11720-4503

Phone

(631) 495-9968

Fax

(631) 980-3543

NPI assigned

Mar 4, 2013

Organization subpart

No

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

Authorized official

Name

Andrew Edward Kosiba, DPTNPI 1023147535

Title

Physical Therapist

Phone

(631) 495-9968

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew Edward Kosiba, DPT

  • Physical Therapist
  • Forest, VA
  • NPI 1023147535
  NPD Authorized official

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

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409097600000",
    "number": "1457692220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 NEAL PATH",
            "city": "SOUTH SETAUKET",
            "state": "NY",
            "postal_code": "117204503",
            "telephone_number": "631-495-9968",
            "fax_number": "631-980-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 NEAL PATH",
            "city": "SOUTH SETAUKET",
            "state": "NY",
            "postal_code": "117204503",
            "telephone_number": "631-495-9968",
            "fax_number": "631-980-3543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGAL PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-04",
        "last_updated": "2014-08-27",
        "status": "A",
        "authorized_official_last_name": "KOSIBA",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "631-495-9968",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "015470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Piette, LMSW
• Jodi Lynne Pobliner
• Athena Rahaman
• Kathleen Raiz, LCSW
• Christine Rosemary Randall, P.T.
• Bradley Richman, LCSW
• Catherine Rivera
• Jennifer Ann Robinson, PHYSICIAN ASSISTANT
• Michael Roche, MA
• Henri Peter Rosenblum, D.C.

• Physical Therapist in South Setauket, NY
• Providers in South Setauket, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.