Organization Active NPI

Co-Active Physical Therapy-Rehab Associates PLLC

  • Physical Therapist
  • East Meadow, NY
National Provider Identifier
1497091128
Registry record updated Dec 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CO-ACTIVE PHYSICAL THERAPY-REHAB ASSOCIATES PLLC
Practice address
694 Blackstone Ave
East Meadow, NY 11554-5105
Phone
(516) 476-5133
NPI assigned
Dec 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2012

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

Authorized official

Name
Mr. William George Schade Jr., DPT
Title
Physical Therapist/Director
Phone
(631) 707-1502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

694 Blackstone Ave
East Meadow, NY 11554-5105

Mailing address

694 Blackstone Ave
East Meadow, NY 11554-5105
Phone (516) 476-5133

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1356652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356652800000",
    "number": "1497091128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "694 BLACKSTONE AVE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115545105",
            "telephone_number": "516-476-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "694 BLACKSTONE AVE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115545105",
            "telephone_number": "516-476-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CO-ACTIVE PHYSICAL THERAPY-REHAB ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-28",
        "last_updated": "2012-12-28",
        "status": "A",
        "authorized_official_last_name": "SCHADE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/DIRECTOR",
        "authorized_official_telephone_number": "631-707-1502",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Meadow, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; 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.