Individual provider Active NPI

David Hynds, PT

  • Physical Therapist
  • Kings Park, NY
National Provider Identifier
1578637328
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
NYS0227181 Issued in NY
Practice address
152 W Main Street
Kings Park, NY 11754
Phone
(631) 269-6652
Fax
(631) 269-6654
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NYS0227181 NY Primary

Addresses

Primary practice location

152 W Main Street
Kings Park, NY 11754

Mailing address

152 W Main Street
Kings Park, NY 11754
Phone (631) 269-6652

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040518001611 NY Practitioner - Physical Therapist in Private Practice 2365433455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

152 W Main St
Kings Park, NY 11754-2605
Phone (631) 269-6652

Merit-based Incentive Payment System (MIPS)

Final score
88.79 of 100Reported as individual
Quality
87.96
Improvement activities
40
Cost
78.68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
022718NYMDPsychologist
NYS0227181NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Main Street Physical Therapy and Hand Rehabilitation of Kings Park, PL Physical Medicine & Rehabilitation CurrentSince Feb 1, 2004 Accepting new patients

Locations

152 Main St
Kings Park, NY 11754
Phone (631) 269-6652

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1578637328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 W MAIN STREET",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "11754",
            "telephone_number": "631-269-6652",
            "fax_number": "631-269-6654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 W MAIN STREET",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "11754",
            "telephone_number": "631-269-6652",
            "fax_number": "631-269-6654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYNDS",
        "first_name": "DAVID",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "NYS0227181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kings Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.