Individual provider Active NPI

Joanna V Acaylar, PT, DPT

  • Physical Therapist
  • Hauppauge, NY
National Provider Identifier
1487869392
Registry record updated May 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
032563-1 Issued in NY
Practice address
740 Veterans Hwy
Hauppauge, NY 11788
Phone
(631) 360-7999
Fax
(631) 366-4473
NPI assigned
May 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X P50546 NY
Physical Therapist 225100000X 032563-1 NY Primary

Addresses

Primary practice location

740 Veterans Hwy
Hauppauge, NY 11788

Mailing address

740 Veterans Hwy
Hauppauge, NY 11788-2329
Phone (631) 360-7999

Other practice location 1

475 Northern Blvd Ste 11
Great Neck, NY 11021
Phone (516) 829-0030

Other practice location 2

1041 Route 112
Port Jefferson Station, NY 11776-6000
Phone (631) 828-4545

Other names 1

  • Joanna Tiu Vasay Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
032563NYMDPeriodontist
P50546NYMDContractor
032563-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Island Physical Therapy and Chiropractic PLLC PastSince Sep 29, 2019 Accepting new patients

Organizations & group practices 1

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": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1487869392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 VETERANS HWY",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882329",
            "telephone_number": "631-360-7999",
            "fax_number": "631-366-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 VETERANS HWY",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "11788",
            "telephone_number": "631-360-7999",
            "fax_number": "631-366-4473"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 Northern Blvd Ste 11",
            "address_purpose": "LOCATION",
            "city": "Great Neck",
            "state": "NY",
            "postal_code": "11021",
            "country_code": "US",
            "telephone_number": "516-829-0030",
            "fax_number": "516-829-0030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1041 Route 112",
            "address_purpose": "LOCATION",
            "city": "Port Jefferson Station",
            "state": "NY",
            "postal_code": "117766000",
            "country_code": "US",
            "telephone_number": "631-828-4545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACAYLAR",
        "first_name": "JOANNA",
        "middle_name": "V",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NY",
            "license": "P50546",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032563-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNA",
            "last_name": "VASAY",
            "middle_name": "TIU",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hauppauge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; 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.