Excel Care Physical Therapy, P.C.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

019426 Issued in NY

Legal business name

EXCEL CARE PHYSICAL THERAPY, P.C.

Practice address

1705 New York Ave
Huntington Station, NY 11746-2444

Phone

(631) 424-5070

Fax

(631) 424-5076

NPI assigned

Mar 10, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Dale Santos Jabagat, P.T.

Title

Owner

Phone

(646) 683-1917

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508998097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 NEW YORK AVE",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117462444",
            "telephone_number": "631-424-5070",
            "fax_number": "631-424-5076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 NEW YORK AVE",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117462444",
            "telephone_number": "631-424-5070",
            "fax_number": "631-424-5076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL CARE PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JABAGAT",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "SANTOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-683-1917",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "019426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Huntington Station, NY
• Providers in Huntington Station, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.