Organization Active NPI

Ny Physical Therapy in Home Therapy PLLC

  • Physical Therapist
  • Levittown, NY
National Provider Identifier
1497347124
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
NY PHYSICAL THERAPY IN HOME THERAPY PLLC
Practice address
650 Wantagh Ave
Levittown, NY 11756-5390
Phone
(516) 261-9510
Fax
(516) 597-5541
NPI assigned
Feb 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Authorized official

Name
Mark Diaz, PT
Title
Owner/PT
Phone
(516) 261-9510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

650 Wantagh Ave
Levittown, NY 11756-5390

Mailing address

650 Wantagh Ave
Levittown, NY 11756-5390
Phone (516) 261-9510

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gerri@nyphysicaltherapy.net Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612396800000",
    "number": "1497347124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 WANTAGH AVE",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117565390",
            "telephone_number": "516-261-9510",
            "fax_number": "516-597-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 WANTAGH AVE",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117565390",
            "telephone_number": "516-261-9510",
            "fax_number": "516-597-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY PHYSICAL THERAPY IN HOME THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-02-04",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER/PT",
        "authorized_official_telephone_number": "516-261-9510",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gerri@nyphysicaltherapy.net",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "650 Wantagh Ave",
            "city": "Levittown",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117565390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Levittown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.