Miller Place Physical Therapy PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

011801 Issued in NY

Legal business name

MILLER PLACE PHYSICAL THERAPY PC

Practice address

41 Echo Ave
Miller Place, NY 11764-2108

Phone

(631) 331-2348

Fax

(631) 928-7068

NPI assigned

Nov 17, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Donald A McCrea, DPT

Title

Doctor of Physical Therapy

Phone

(631) 331-2348

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510876800000",
    "number": "1467966168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 ECHO AVE",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642108",
            "telephone_number": "631-553-8370",
            "fax_number": "631-928-7068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 ECHO AVE",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642108",
            "telephone_number": "631-331-2348",
            "fax_number": "631-928-7068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER PLACE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-17",
        "last_updated": "2017-11-17",
        "status": "A",
        "authorized_official_last_name": "MCCREA",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "631-331-2348",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "011801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Marie Mercado
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• Miller Place PT, Family Health NP and Chiropractic PLLC
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• Miller Places Dental Associates
• Anthony Modesto, OD
• Justine Mongeau

• Physical Therapy Clinic/Center in Miller Place, NY
• Providers in Miller Place, 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 17, 2017; 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.