NPIMap

Organization Active NPI

Advanced Physical Therapy of Merrick, PC

  • Orthopedic Physical Therapist
  • Westbury, NY
National Provider Identifier
1508018318
Registry record updated Nov 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
028657 Issued in NY
Legal business name
ADVANCED PHYSICAL THERAPY OF MERRICK, PC
Practice address
320 Post Ave
Westbury, NY 11590-2257
Phone
(516) 333-7600
Fax
(516) 279-6979
NPI assigned
Oct 13, 2008
Last updated
Nov 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2015

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

Authorized official

Name
Mr. Oliver Tello, P.T.NPI 1417149345
Title
Director
Phone
(917) 295-1025

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 028657 NY Primary

Addresses

Primary practice location

320 Post Ave
Westbury, NY 11590-2257

Mailing address

320 Post Ave
Westbury, NY 11590-2257
Phone (516) 333-7600

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1223856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447372800000",
    "number": "1508018318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 POST AVE",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115902257",
            "telephone_number": "516-333-7600",
            "fax_number": "516-279-6979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 POST AVE",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115902257",
            "telephone_number": "516-333-7600",
            "fax_number": "516-279-6979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PHYSICAL THERAPY OF MERRICK, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-13",
        "last_updated": "2015-11-13",
        "status": "A",
        "authorized_official_last_name": "TELLO",
        "authorized_official_first_name": "OLIVER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "917-295-1025",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "028657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; 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.