Organization Active NPI

Santa Barbara PT PC

  • Physical Therapist
  • Bay Shore, NY
National Provider Identifier
1538778675
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SANTA BARBARA PT PC
Practice address
1656 5TH Ave Unit C
Bay Shore, NY 11706-3429
Phone
(631) 510-0145
Fax
(631) 510-0151
NPI assigned
Jul 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Authorized official

Name
Haengyeol Heo
Title
President
Phone
(631) 510-0145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1656 5TH Ave Unit C
Bay Shore, NY 11706-3429

Mailing address

1656 5TH Ave Unit C
Bay Shore, NY 11706-3429
Phone (631) 510-0145

National Provider Directory

National Provider Directory

Locations

1656 5th Ave
Unit C
Bay Shore, NY 11706

NPI Registry JSON

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1538778675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1656 5TH AVE UNIT C",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117063429",
            "telephone_number": "631-510-0145",
            "fax_number": "631-510-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1656 5TH AVE UNIT C",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117063429",
            "telephone_number": "631-510-0145",
            "fax_number": "631-510-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA BARBARA PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-24",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "HEO",
        "authorized_official_first_name": "HAENGYEOL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-510-0145"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.