Miller Place PT, Family Health NP and Chiropractic PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MILLER PLACE PT, FAMILY HEALTH NP AND CHIROPRACTIC PLLC

Doing business as

Miller Place PTDC

Practice address

41 Echo Ave
Miller Place, NY 11764-2108

Phone

(631) 242-4500

Fax

(631) 242-0885

NPI assigned

Mar 19, 2020

Last updated

Mar 19, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jack J TesorieroNPI 1871580282

Title

Owner

Phone

(631) 242-4500

Specialties & licenses 3

Addresses

Other names 1

• Miller Place PTDC Doing business as

Practitioners 1

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.

• Jack James Tesoriero, DC

  • Chiropractor
  • Deer Park, NY
  • NPI 1871580282
  Authorized official Same address or phone

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

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584576000000",
    "number": "1588290779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 DEER PARK AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117291317",
            "telephone_number": "631-680-2166",
            "fax_number": "631-242-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 ECHO AVE",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642108",
            "telephone_number": "631-242-4500",
            "fax_number": "631-242-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER PLACE PT, FAMILY HEALTH NP AND CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-19",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A",
        "authorized_official_last_name": "TESORIERO",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-242-4500",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miller Place PTDC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Mihalo, OTR/L
• Miller Place Acupuncture PC
• Miller Place Fire District
• Miller Place Neurology and Sleep Specialty PC (Complete Sleep Care)
• Miller Place Physical Therapy PC
• Miller Place Ufsd
• Miller Places Dental Associates
• Anthony Modesto, OD
• Justine Mongeau
• Ilene B Morris

• Physical Therapist in Miller Place, NY
• Providers in Miller Place, 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 Mar 19, 2020; 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.