Nassau Sports Physical Therapy & Rehabilitation PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

009165-1 Issued in NY

Legal business name

NASSAU SPORTS PHYSICAL THERAPY & REHABILITATION PC

Practice address

300 Old Country Rd
Suite 191
Mineola, NY 11501-4198

Phone

(516) 747-5050

Fax

(516) 747-5929

NPI assigned

May 18, 2007

Organization subpart

No

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

Authorized official

Name

Michael H. GallagherNPI 1619037686

Title

Owner

Phone

(516) 747-5050

Specialties & licenses 1

Addresses

Other names 1

• NASSAU SPORTS PHYSICAL THERAPY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

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

• Michael H. Gallagher, PT

  • Specialist
  • Mineola, NY
  • NPI 1619037686
  Medicare reassignment NPD Authorized official
• Richard Leo Dio, P.T.

  • Physical Therapist
  • Huntington, NY
  • NPI 1235292236
  NPD (past)
• Suzanne Elizabeth Sjem, P.T., M.S., D.P.T.

  • Physical Therapist
  • Huntington, NY
  • NPI 1295861219
  NPD (past)

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1588872113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 OLD COUNTRY RD",
            "address_2": "SUITE 191",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014198",
            "telephone_number": "516-747-5050",
            "fax_number": "516-747-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 OLD COUNTRY RD",
            "address_2": "SUITE 191",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014198",
            "telephone_number": "516-747-5050",
            "fax_number": "516-747-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASSAU SPORTS PHYSICAL THERAPY & REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-747-5050"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "009165-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NASSAU SPORTS PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nassau Anesthesia Associates PC
• Nassau Anesthesia Associates, P.C.
• Nassau Anesthesia Associates, P.C.
• Nassau Neurological Consultants, P.C.
• Nassau Rehabilitation &Sports Therapy
• Nassau Surgical Associates, PC
• Amira Nasser, PA
• Gianna Nasta
• Hari Nath, MD
• Adriana Natividade, SA-C

• Specialist in Mineola, NY
• Providers in Mineola, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.