Individual provider Active NPI

Lonnie Fogel, DPT

  • Physical Therapist
  • Plainview, NY
National Provider Identifier
1629014204
Registry record updated May 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
008710-1 Issued in NY
Practice address
651 Old Country Rd
Suite 100
Plainview, NY 11803-4908
Phone
(516) 470-2150
Fax
(516) 870-1477
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 008710-1 NY Primary

Addresses

Primary practice location

651 Old Country Rd
Suite 100
Plainview, NY 11803-4908

Mailing address

651 Old Country Rd
Suite 100
Plainview, NY 11803-4908
Phone (516) 470-2150

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040412001328 NY Practitioner - Physical Therapist in Private Practice 2860486941 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1169 Wantagh Ave
Wantagh, NY 11793-2136
Phone (516) 785-4800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008710-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Central Orthopedic Group L L P CurrentSince Sep 12, 2011 Accepting new patients
Plainview Physical Therapy, PC Physical Therapist CurrentSince Nov 8, 2000 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC CurrentSince Nov 29, 2021 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path Physical Therapist CurrentSince Nov 29, 2021 Accepting new patients
The Central Orthopedic Group L L P CurrentSince Sep 12, 2011 Accepting new patients
Sprain Brook Physical Therapy,P.C. CurrentSince May 21, 1993 Accepting new patients

Locations

550 Mamaroneck Ave
Ste 104
Harrison, NY 10528
Phone (914) 777-3737

651 Old Country Rd
Ste 100
Plainview, NY 11803
Phone (516) 935-1958

875 Old Country Rd
Ste LL153
Plainview, NY 11803
Phone (516) 935-1958

651 Old Country Rd
Ste Ll
Plainview, NY 11803
Phone (516) 870-1567

651 Old Country Rd
Plainview, NY 11803
Phone (516) 333-7200

1169 Wantagh Ave
Wantagh, NY 11793
Phone (516) 785-4800

297 Knollwood Rd
White Plains, NY 10607
Phone (914) 328-2036

1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838

Organizations & group practices 6

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399420800000",
    "number": "1629014204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 OLD COUNTRY RD",
            "address_2": "SUITE 100",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034908",
            "telephone_number": "516-470-2150",
            "fax_number": "516-870-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 OLD COUNTRY RD",
            "address_2": "SUITE 100",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034908",
            "telephone_number": "516-470-2150",
            "fax_number": "516-870-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGEL",
        "first_name": "LONNIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2014-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "008710-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; 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.