Individual provider Active NPI

Carly Loewenstein Flaherty

  • Physical Therapist
  • Huntington, NY
National Provider Identifier
1619360708
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
038643 Issued in NY
Practice address
221 E Main St
Huntington, NY 11743-2924
Phone
(631) 533-2888
NPI assigned
Mar 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12595 CT
Physical Therapist 225100000X 038643 NY Primary

Addresses

Primary practice location

221 E Main St
Huntington, NY 11743-2924

Mailing address

221 E Main St
Huntington, NY 11743-2924
Phone (631) 533-2888

Other practice location 1

106 Route 66 E
Columbia, CT 06237-1224
Phone (860) 228-0194

Other practice location 2

317 North St
White Plains, NY 10605-2209
Phone (914) 597-4000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210616003038 NY Practitioner - Physical Therapist in Private Practice 3870904303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Universus Physical Therapy PLLCGroup PAC ID 5193980159, 13 clinicians

Practice addresses (Care Compare)

221 E Main St
Huntington, NY 11743-2924
Phone (631) 533-2888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038643NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Universus Physical Therapy PLLC Physical Therapist CurrentSince May 1, 2021 Accepting new patients

Locations

221 E Main St
Huntington, NY 11743
Phone (631) 533-2888

232 E Main St
Ste 3
Huntington, NY 11743
Phone (631) 533-2888

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": "1426118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1619360708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 E MAIN ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432924",
            "telephone_number": "631-533-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 E MAIN ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432924",
            "telephone_number": "631-533-2888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Route 66 E",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "CT",
            "postal_code": "062371224",
            "country_code": "US",
            "telephone_number": "860-228-0194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "317 North St",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "NY",
            "postal_code": "106052209",
            "country_code": "US",
            "telephone_number": "914-597-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLAHERTY",
        "first_name": "CARLY",
        "middle_name": "LOEWENSTEIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-12",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "12595",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "038643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.