Joan Mackey PT PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

8331 Issued in NY

Legal business name

JOAN MACKEY PT PC

Practice address

590 Nicolls Rd
Deer Park, NY 11729-3217

Phone

(631) 254-4945

NPI assigned

Nov 12, 2009

Organization subpart

No

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

Authorized official

Name

Joan Mackey, PT

Title

President

Phone

(631) 254-4945

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1467789339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 NICOLLS RD",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117293217",
            "telephone_number": "631-254-4945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 NICOLLS RD",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117293217",
            "telephone_number": "631-254-4945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOAN MACKEY PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-12",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "MACKEY",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-254-4945",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "8331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Island Therapies of Suffolk, LLP
• Ulysses Jackson
• Christy Janes, PHYSICIAN ASSISTANT
• James Jean
• Stacey Jean
• John L. Braun, PT,PC
• Celeste Johnson, NURSE PRACTITIONER
• Kimberly Johnson, MA
• Lorraine Johnson
• Marie C Joseph, LPN

• Physical Therapy Clinic/Center in Deer Park, NY
• Providers in Deer Park, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; 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.