NPIMap

Organization Active NPI

All Island Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Port Jefferson Station, NY
National Provider Identifier
1578770848
Registry record updated Apr 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
114526 Issued in NY
Legal business name
ALL ISLAND PHYSICAL THERAPY PLLC
Practice address
5380 Nesconset Hwy
Port Jefferson Station, NY 11776-2056
Phone
(631) 474-4096
Fax
(631) 474-5299
NPI assigned
May 17, 2007
Last updated
Apr 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2013

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

Authorized official

Name
Mr. Richard John Flynn Jr., P.T.NPI 1194896266
Title
Director
Phone
(631) 246-6320

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
Physical Therapy Clinic/Center 261QP2000X 114526 NY Primary

Addresses

Primary practice location

5380 Nesconset Hwy
Port Jefferson Station, NY 11776-2056

Mailing address

8 Caterham LN
Setauket, NY 11733-1945
Phone (631) 246-6320

National Provider Directory

National Provider Directory
Tax ID family
All Island Phyiscal Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365984000000",
    "number": "1578770848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CATERHAM LN",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "117331945",
            "telephone_number": "631-246-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5380 NESCONSET HWY",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762056",
            "telephone_number": "631-474-4096",
            "fax_number": "631-474-5299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL ISLAND PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2013-04-15",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "631-246-6320",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "114526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson Station, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; 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.