Organization Active NPI

Rehabilities Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Westbury, NY
National Provider Identifier
1457795791
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
021290 Issued in NY
Legal business name
REHABILITIES PHYSICAL THERAPY PLLC
Practice address
55 Post Ave
Floor 1
Westbury, NY 11590-4361
Phone
(516) 338-5327
Fax
(516) 338-5320
NPI assigned
Apr 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2016

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

Authorized official

Name
Mitzi Malilay Santos, PTNPI 1316115587
Title
PT/Owner
Phone
(516) 338-5327

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
Physical Therapy Clinic/Center 261QP2000X 021290 NY Primary

Addresses

Primary practice location

55 Post Ave
Floor 1
Westbury, NY 11590-4361

Mailing address

55 Post Ave
Floor 1
Westbury, NY 11590-4361
Phone (516) 338-5327

Other names 1

  • Leap Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160502001060 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2961709712 Receives reassigned benefits from 2 practitioners
Practice locations: Westbury, NY

National Provider Directory

National Provider Directory
Tax ID family
Leap 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

1995 New York Ave
Ste 101
Huntington Station, NY 11746
Phone (631) 923-3590

480 E Jericho Tpke
Huntington Station, NY 11746
Phone (516) 338-5327

55 Post Ave
Ste 1
Westbury, NY 11590
Phone (516) 338-5327

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1457795791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 POST AVE",
            "address_2": "FLOOR 1",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115904361",
            "telephone_number": "516-338-5327",
            "fax_number": "516-338-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 POST AVE",
            "address_2": "FLOOR 1",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115904361",
            "telephone_number": "516-338-5327",
            "fax_number": "516-338-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITIES PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-17",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "MITZI",
        "authorized_official_middle_name": "MALILAY",
        "authorized_official_title_or_position": "PT/OWNER",
        "authorized_official_telephone_number": "516-338-5327",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "021290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leap Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; 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.