Individual provider Active NPI

John Richard Lottes, PT, DPT

  • Physical Therapist
  • Melville, NY
National Provider Identifier
1497180830
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
036718 Issued in NY
Practice address
900 Walt Whitman Rd
Suite 310
Melville, NY 11747-2293
Phone
(631) 923-2288
NPI assigned
Sep 4, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 036718 NY Primary

Addresses

Primary practice location

900 Walt Whitman Rd
Suite 310
Melville, NY 11747-2293

Mailing address

128 Brookville Rd
Glen Head, NY 11545-3306
Phone (516) 626-6632

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140318000081 NY Practitioner - Physical Therapist in Private Practice 3678704566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Step Physical Therapy of Long IslandGroup PAC ID 3072771948, 8 clinicians

Practice addresses (Care Compare)

8 Saxon Ave
Suite B
Bay Shore, NY 11706-7036
Phone (631) 328-2624

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
036718NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
First Step Physical Therapy of Long Island Physical Therapist CurrentSince Sep 16, 2013 Accepting new patients

Locations

8 Saxon Ave
Ste B
Bay Shore, NY 11706
Phone (631) 328-2624

560 Walt Whitman Rd
Ste 1
Melville, NY 11747
Phone (631) 923-2288

900 Walt Whitman Rd
Ste 310
Melville, NY 11747
Phone (631) 923-2288

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

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": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378252800000",
    "number": "1497180830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 BROOKVILLE RD",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115453306",
            "telephone_number": "516-626-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WALT WHITMAN RD",
            "address_2": "SUITE 310",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117472293",
            "telephone_number": "631-923-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOTTES",
        "first_name": "JOHN",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-04",
        "last_updated": "2013-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "036718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.