Individual provider Active NPI

Andrew S Zagorski, PT

  • Physical Therapist
  • Huntington, NY
National Provider Identifier
1629112552
Registry record updated Jun 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0211891 Issued in NY
Practice address
709 W Jericho Tpke
Huntington, NY 11743-6336
Phone
(631) 549-1280
Fax
(631) 549-1005
NPI assigned
Feb 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2009

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 0211891 NY Primary

Addresses

Primary practice location

709 W Jericho Tpke
Huntington, NY 11743-6336

Mailing address

1473 Briard St
Wantagh, NY 11793-2910
Phone (631) 549-1280

Other identifiers 1

IdentifierTypeStateIssuer
0211891OtherNYLICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040525000177 NY Practitioner - Physical Therapist in Private Practice 6608857933 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Merrick Physical Therapy PLLCGroup PAC ID 6305998634, 4 clinicians
Island Spine and Sports Medicine PCGroup PAC ID 2860593175, 3 clinicians

Practice addresses (Care Compare)

2092 Merrick Ave
Merrick, NY 11566-3147
Phone (516) 223-4300

4276 Hempstead Tpke
Bethpage, NY 11714-5721
Phone (516) 738-5570

81 N Broadway
Hicksville, NY 11801-2920
Phone (516) 622-9515

81 N Broadway
Hicksville, NY 11801-4236

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0211891NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path Physical Therapist CurrentSince Dec 1, 2025 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC CurrentSince Dec 1, 2025 Accepting new patients
Merrick Physical Therapy PLLC Physical Therapist CurrentSince Oct 24, 2024 Accepting new patients
Island Spine & Sports Medicine PC Physical Therapist CurrentSince May 17, 2009 Accepting new patients
Oconnell Selig & Associates LLP Physical Therapist PastSince Oct 1, 2003 Accepting new patients
O'Connell, Selig&Associates L.L.P Past Accepting new patients

Locations

4276 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 738-5570

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

81 N Broadway
Hicksville, NY 11801
Phone (516) 827-7400

2092 Merrick Ave
North Merrick, NY 11566
Phone (516) 223-4300

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": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244160000000",
    "number": "1629112552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1473 BRIARD ST",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117932910",
            "telephone_number": "631-549-1280",
            "fax_number": "631-549-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 W JERICHO TPKE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117436336",
            "telephone_number": "631-549-1280",
            "fax_number": "631-549-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAGORSKI",
        "first_name": "ANDREW",
        "middle_name": "S",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2009-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0211891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0211891",
            "state": "NY"
        }
    ],
    "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 Jun 5, 2009; 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.