Active NPI
Ny Physical Therapy in Home Therapy PLLC
- Physical Therapist
- Levittown, NY
National Provider Identifier
1497347124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gerri@nyphysicaltherapy.net | Direct |
National Provider Directory
National Provider DirectoryNPI 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.