Individual provider Active NPI

Arthur Reiss III

  • Physical Therapist
  • Oyster Bay, NY
National Provider Identifier
1477518751
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
024009 Issued in NY
Practice address
6 Anchorage LN
Oyster Bay, NY 11771-2724
Phone
(516) 802-3284
Fax
(516) 802-3284
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 024009 NY Primary

Addresses

Primary practice location

6 Anchorage LN
Oyster Bay, NY 11771-2724

Mailing address

6 Anchorage LN
Apt 5B
Oyster Bay, NY 11771-2724
Phone (516) 526-6027

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051212000602 NY Practitioner - Physical Therapist in Private Practice 9931120482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Port Jefferson Physical Therapy PCGroup PAC ID 8325938962, 3 clinicians

Practice addresses (Care Compare)

300 Hallock Ave
Port Jefferson Station, NY 11776-1248
Phone (631) 331-1070

Merit-based Incentive Payment System (MIPS)

Final score
22.56 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
75.2

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
024009NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Port Jefferson Physical Therapy PC CurrentSince Feb 1, 2008 Accepting new patients
Weigh of Life Dietetic Nutrition Consulting PLLC PastSince Nov 15, 2012 Accepting new patients
Nassau Sports Care Physical Therapy P.C. Physical Therapist Past Accepting new patients

Locations

300 Hallock Ave
Port Jefferson Station, NY 11776
Phone (631) 331-1070

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1477518751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ANCHORAGE LN",
            "address_2": "APT 5B",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117712724",
            "telephone_number": "516-526-6027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 ANCHORAGE LN",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117712724",
            "telephone_number": "516-802-3284",
            "fax_number": "516-802-3284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISS",
        "first_name": "ARTHUR",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "024009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oyster Bay, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.