Organization Active NPI

New York Physical and Occupational Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Commack, NY
National Provider Identifier
1487674891
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
NEW YORK PHYSICAL AND OCCUPATIONAL THERAPY, PLLC
Practice address
763 Larkfield Road
Commack, NY 11725
Phone
(631) 462-0118
Fax
(631) 462-0827
NPI assigned
Jul 20, 2006
Organization subpart
Yes
Parent organization
NEW YORK PHYSICAL AND OCCUPATIONAL THERAPY PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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

Authorized official

Name
Ms. Mary Small
Title
Cfo
Phone
(631) 665-8645

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

763 Larkfield Road
Commack, NY 11725

Mailing address

569 E Main Street
Bay Shore, NY 11706-8505
Phone (631) 665-8645

National Provider Directory

National Provider Directory
Part of
Marty Febos

Locations

763 Larkfield Rd
Commack, NY 11725
Phone (631) 462-0118

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1487674891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "569 E MAIN STREET",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068505",
            "telephone_number": "631-665-8645",
            "fax_number": "631-665-8646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 LARKFIELD ROAD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "11725",
            "telephone_number": "631-462-0118",
            "fax_number": "631-462-0827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK PHYSICAL AND OCCUPATIONAL THERAPY, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW YORK PHYSICAL AND OCCUPATIONAL THERAPY PLLC",
        "enumeration_date": "2006-07-20",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "SMALL",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "631-665-8645",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.