Immordino Capital Corp

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

IMMORDINO CAPITAL CORP

Doing business as

StretchLab

Practice address

4097 Jericho Tpke
East Northport, NY 11731-6211

Phone

(631) 683-8044

NPI assigned

Jan 11, 2025

Last updated

Jan 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Immordino

Title

Owner

Phone

(631) 683-8044

Specialties & licenses 3

Addresses

Other names 1

• StretchLab Doing business as

Locations

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

{
    "created_epoch": "1736553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736553600000",
    "number": "1508676560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 SUFFOLK LN",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115301535",
            "telephone_number": "631-210-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4097 JERICHO TPKE",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117316211",
            "telephone_number": "631-683-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMORDINO CAPITAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-11",
        "last_updated": "2025-01-11",
        "certification_date": "2025-01-11",
        "status": "A",
        "authorized_official_last_name": "IMMORDINO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-683-8044"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "StretchLab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Farwah Hussain
• Daniel Edward Hutt, DSW
• Catherine Anne Hyman, R.N.
• Pasquale Iannucci, DPT
• Iaso Innovative Recovery Corporation
• Imran Wahedna M.D P.C
• In Our Care Inc
• Intent Rehab Performance Physical Therapy
• Juliana Ionescu, PT
• Alyssa Ann Isaac, M.S., CCC-SLP

• Rehabilitation Clinic/Center in East Northport, NY
• Providers in East Northport, NY by specialty
• Rehabilitation Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2025; 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.