Organization Active NPI

Hydro Therapy LLC

  • Registered Nurse
  • Medford, NY
National Provider Identifier
1548108103
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
Legal business name
HYDRO THERAPY LLC
Practice address
256 Jamaica Ave
Medford, NY 11763-3297
Phone
(631) 942-6987
NPI assigned
Mar 24, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Authorized official

Name
Christine Cancel, RNNPI 1841672318
Title
RN
Phone
(631) 942-6987

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
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X Primary

Addresses

Primary practice location

256 Jamaica Ave
Medford, NY 11763-3297

Mailing address

256 Jamaica Ave
Medford, NY 11763-3297
Phone (631) 942-6987

Other identifiers 1

IdentifierTypeStateIssuer
820024-01OtherNYRN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1774310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775779200000",
    "number": "1548108103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 JAMAICA AVE",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117633297",
            "telephone_number": "631-942-6987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 JAMAICA AVE",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117633297",
            "telephone_number": "631-942-6987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYDRO THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-24",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A",
        "authorized_official_last_name": "CANCEL",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "631-942-6987",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "820024-01",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.