PRN Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

016663 Issued in NY

Legal business name

PRN PHYSICAL THERAPY PC

Practice address

20 Peachtree CT
Suite 105
Holbrook, NY 11741-4616

Phone

(631) 467-3700

Fax

(631) 467-0928

NPI assigned

Jun 29, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Stephen Joseph, PT

Title

President

Phone

(631) 467-3700

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Evan N Berman, M.D.

  • Surgery Physician
  • Astoria, NY
  • NPI 1528013679
  NPD (past)
• Gary S Berman, MD

  • Ophthalmology Physician
  • Astoria, NY
  • NPI 1124074265
  NPD (past)
• Charles Joseph Deluca, O.D.

  • Optometrist
  • Baldwin, NY
  • NPI 1659492452
  NPD (past)
• Stephen H Rabinowitz, MD

  • Cardiovascular Disease Physician
  • Great Neck, NY
  • NPI 1659311884
  NPD (past)
• Richard M Seldes, MD

  • Orthopaedic Surgery Physician
  • New York, NY
  • NPI 1023030830
  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615161600000",
    "number": "1528096302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PEACHTREE CT",
            "address_2": "SUITE 105",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117414616",
            "telephone_number": "631-467-3700",
            "fax_number": "631-467-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PEACHTREE CT",
            "address_2": "SUITE 105",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117414616",
            "telephone_number": "631-467-3700",
            "fax_number": "631-467-0928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRN PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-467-3700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "016663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "650021498",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jane Theresa Porcaro
• Diane Patricia Porcello, RN
• Scott R Poretsky
• Paul David Priolo, DC
• PRN Physical & Occupational Therapy Network
• PRN Physical, Occupational and Speech Therapy Network, PLLC
• Professional Occupational & Physical Therapy, PLLC
• Tatyana Prusakova
• Kimberly Ann Pulitano, SLP
• Christa Leamar Nograles Querubin, PT

• Physical Therapist in Holbrook, NY
• Providers in Holbrook, NY by specialty
• Physical Therapist in New York

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

Verify at the official NPI Registry.