Nassau Physical Therapy and Physical Therapy Assistant at New Hyde

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

NASSAU PHYSICAL THERAPY AND PHYSICAL THERAPY ASSISTANT AT NEW HYDE

Practice address

1204 Jericho Tpke
New Hyde Park, NY 11040-4607

Phone

(516) 326-7899

NPI assigned

Jul 31, 2015

Organization subpart

No

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

Authorized official

Name

Frederick Kaestel, PTNPI 1659336352

Title

Owner / Physical Therapist

Phone

(516) 322-9100

Specialties & licenses 1

Addresses

Other names 1

• Park PLLC Other name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Frederick W. Kaestel

  • Physical Therapist
  • New Hyde Park, NY
  • NPI 1659336352
  Medicare reassignment Care Compare group NPD Authorized official
• Robert Wisnewski, DPT

  • Physical Therapist
  • New Hyde Park, NY
  • NPI 1053925982
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451433600000",
    "number": "1477939569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 JERICHO TPKE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110404607",
            "telephone_number": "516-326-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 JERICHO TPKE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110404607",
            "telephone_number": "516-326-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASSAU PHYSICAL THERAPY AND PHYSICAL THERAPY ASSISTANT AT NEW HYDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-31",
        "last_updated": "2015-12-30",
        "status": "A",
        "authorized_official_last_name": "KAESTEL",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "OWNER / PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "516-322-9100",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mangala Narasimhan, DO
• Badewattie Priyadarshanie Narine, MD
• Mansoor M Nasim, MD, PHD
• Nassau Chiropractic Care PC
• Nassau Hematology Oncology, PC
• Nassau Queens Pulmonary Associates PC
• Nassau Sports Care Wellness & Fitness Physical Therapy PLLC
• Nassau-Queens Endodontics, P.C.
• Haleh Nassiri, DPM
• Tiffany Ann Natel

• Physical Therapy Clinic/Center in New Hyde Park, NY
• Providers in New Hyde 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 Dec 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.