John Smith

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

011955 Issued in NY

Practice address

936 Roosevelt St
Franklin Square, NY 11010

Phone

(516) 355-0547

Fax

(516) 326-8251

NPI assigned

Jan 25, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1990

Medicare assignment

May accept Medicare assignment

Group practices

Dynamic Physical Therapy P.C.Group PAC ID 0648308973, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dynamic Physical Therapy P.C.

  • Physical Therapist
  • Franklin Square, NY
  • NPI 1053640904
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410307200000",
    "number": "1578618823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 ROOSEVELT ST",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "11010",
            "telephone_number": "516-355-0547",
            "fax_number": "516-326-8251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 ROOSEVELT ST",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "11010",
            "telephone_number": "516-355-0547",
            "fax_number": "516-326-8251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2014-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "011955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Vishma Singh, PA
• Yashmin Singh
• Susan Sisselman
• Smart Care LLC
• Jessica Adele Smith
• Samantha Lynn Smith
• Mildred Solano, M.D.
• Linda P. Soldo, M.S.
• Cesar Sosa, CASAC
• Sports Physical Therapy Occupational Therapy and Rehabilitation Servic

• Physical Therapist in Franklin Square, NY
• Providers in Franklin Square, 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 Sep 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.