Organization Active NPI

South Nassau Physical Therapy

  • Physical Therapy Clinic/Center
  • Hempstead, NY
National Provider Identifier
1619324803
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
029592 Issued in NY
Legal business name
SOUTH NASSAU PHYSICAL THERAPY
Practice address
230 Hilton Ave
Suite 19
Hempstead, NY 11550-8115
Phone
(516) 307-9166
Fax
(516) 307-9165
NPI assigned
May 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2016

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

Authorized official

Name
Dr. Sabaa Mundia, DPTNPI 1033446539
Title
Physical Therapist - Owner
Phone
(516) 307-9166

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 029592 NY Primary

Addresses

Primary practice location

230 Hilton Ave
Suite 19
Hempstead, NY 11550-8115

Mailing address

230 Hilton Ave
Suite 19
Hempstead, NY 11550-8115
Phone (516) 307-9166

National Provider Directory

National Provider Directory

Locations

230 Hilton Ave
Ste 20
Hempstead, NY 11550
Phone (516) 538-0300

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1619324803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 HILTON AVE",
            "address_2": "SUITE 19",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115508115",
            "telephone_number": "516-307-9166",
            "fax_number": "516-307-9165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 HILTON AVE",
            "address_2": "SUITE 19",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115508115",
            "telephone_number": "516-307-9166",
            "fax_number": "516-307-9165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH NASSAU PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-18",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "MUNDIA",
        "authorized_official_first_name": "SABAA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST - OWNER",
        "authorized_official_telephone_number": "516-307-9166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "029592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hempstead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.