Active NPI
Home Instead Rehabilitation Services LLC
- Physical Therapist
- Oceanside, NY
National Provider Identifier
1467601799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 014577-1
- Legal business name
- HOME INSTEAD REHABILITATION SERVICES LLC
- Practice address
- 106 Frederick St
Oceanside, NY 11572-4709 - Phone
- (516) 317-9593
- NPI assigned
- Sep 10, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin Mangan, PT
- Title
- Owner
- Phone
- (516) 317-9593
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 014577-1 | NY | Primary |
Addresses
Primary practice location
106 Frederick St
Oceanside, NY 11572-4709
Mailing address
106 Frederick St
Oceanside, NY 11572-4709
Phone (516) 317-9593
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Oceanside, NY
- NPI 1720244312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221004800000",
"number": "1467601799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 FREDERICK ST",
"city": "OCEANSIDE",
"state": "NY",
"postal_code": "115724709",
"telephone_number": "516-317-9593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 FREDERICK ST",
"city": "OCEANSIDE",
"state": "NY",
"postal_code": "115724709",
"telephone_number": "516-317-9593"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME INSTEAD REHABILITATION SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-10",
"last_updated": "2008-09-10",
"status": "A",
"authorized_official_last_name": "MANGAN",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "516-317-9593",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NY",
"license": "014577-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Sep 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.