Active NPI
Veronica Southard, PT
- Geriatric Physical Therapist
- Bayville, NY
National Provider Identifier
1487199832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 6442
- Practice address
- 186 Bayville Ave
Bayville, NY 11709-1608 - Phone
- (516) 686-7671
- Fax
- (516) 686-7671
- NPI assigned
- Dec 21, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 6442 | NY | Primary |
Addresses
Primary practice location
186 Bayville Ave
Bayville, NY 11709-1608
Mailing address
186 Bayville Ave
Bayville, NY 11709-1608
Phone (516) 628-2154
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6442 | NY | MD | Geriatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482278400000",
"number": "1487199832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "186 BAYVILLE AVE",
"city": "BAYVILLE",
"state": "NY",
"postal_code": "117091608",
"telephone_number": "516-628-2154",
"fax_number": "516-686-7699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "186 BAYVILLE AVE",
"city": "BAYVILLE",
"state": "NY",
"postal_code": "117091608",
"telephone_number": "516-686-7671",
"fax_number": "516-686-7671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUTHARD",
"first_name": "VERONICA",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-21",
"last_updated": "2016-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "NY",
"license": "6442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayville, NY
- Emily Schlicht, PT, DPT
- Marta Teresa Silva, PSY.D.
- Sarika Michelle Singh, LCSW
- Anne Marie Skvarla, M.A., CCC-SLP
- Jill Karen Smarrelli, MSW LCSW
- Phillip Steiner, M.D.
- Alison Beth Sullivan, PH.D.
- Trustees of the Jones Fund for the Support of the Poor
- Ucp Bayville Inc.
- United Cerebral Palsy Associations of New York State Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.