Organization Active NPI

React Physical Therapy and Sports Rehabilitation, PLLC

  • Physical Therapist
  • Roslyn, NY
National Provider Identifier
1487871596
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
020526-1 Issued in NY
Legal business name
REACT PHYSICAL THERAPY AND SPORTS REHABILITATION, PLLC
Practice address
55 Lumber Rd
Roslyn, NY 11576-3301
Phone
(516) 639-5575
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Robert Joseph Ackerly Jr., PT
Title
Owner
Phone
(516) 639-5575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 020526-1 NY Primary

Addresses

Primary practice location

55 Lumber Rd
Roslyn, NY 11576-3301

Mailing address

55 Lumber Rd
Roslyn, NY 11576-3301

National Provider Directory

National Provider Directory

Locations

55 Lumber Rd
Roslyn, NY 11576
Phone (516) 639-5575

55 Lumber Rd
Ste 105
Roslyn, NY 11576
Phone (516) 277-2248

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487871596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 LUMBER RD",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115763301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 LUMBER RD",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115763301",
            "telephone_number": "516-639-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REACT PHYSICAL THERAPY AND SPORTS REHABILITATION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ACKERLY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-639-5575",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "020526-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.