Active NPI
Santa Barbara PT PC
- Physical Therapist
- Bay Shore, NY
National Provider Identifier
1538778675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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 DirectoryLocations
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.