Organization Active NPI

Home Instead Rehabilitation Services LLC

  • Physical Therapist
  • Oceanside, NY
National Provider Identifier
1467601799
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
014577-1 Issued in NY
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

Updated by the provider on Sep 10, 2008

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "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.

Verify at the official NPI Registry.