NPIMap

Organization Active NPI

Restorative Physical Therapy & Wellness

  • Physical Therapy Clinic/Center
  • Freeport, NY
National Provider Identifier
1518226893
Registry record updated May 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
020516 Issued in NY
Legal business name
RESTORATIVE PHYSICAL THERAPY & WELLNESS
Practice address
121 S Ocean Ave
Suite 2
Freeport, NY 11520-4558
Phone
(516) 442-7900
Fax
(516) 442-7900
NPI assigned
May 8, 2012
Last updated
May 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2012

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

Authorized official

Name
Mr. Enriquito Ebuna, PTNPI 1639224942
Title
Owner/Physical Therapist
Phone
(516) 442-7900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 020516 NY Primary

Addresses

Primary practice location

121 S Ocean Ave
Suite 2
Freeport, NY 11520-4558

Mailing address

121 S Ocean Ave
Suite 2
Freeport, NY 11520-4558
Phone (516) 442-7900

National Provider Directory

National Provider Directory
Tax ID family
Restorative Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1336435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336435200000",
    "number": "1518226893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S OCEAN AVE",
            "address_2": "SUITE 2",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115204558",
            "telephone_number": "516-442-7900",
            "fax_number": "516-442-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S OCEAN AVE",
            "address_2": "SUITE 2",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115204558",
            "telephone_number": "516-442-7900",
            "fax_number": "516-442-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIVE PHYSICAL THERAPY & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-08",
        "last_updated": "2012-05-08",
        "status": "A",
        "authorized_official_last_name": "EBUNA",
        "authorized_official_first_name": "ENRIQUITO",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "516-442-7900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "020516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2012; 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.