NPIMap

Organization Active NPI

Eric Loughman PTPC

Doing business as dynamic performance physical therapy

  • Physical Therapist
  • Babylon, NY
National Provider Identifier
1629229489
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
020595-1 Issued in NY
Legal business name
ERIC LOUGHMAN PTPC
Doing business as
dynamic performance physical therapy
Practice address
124 E Main St
Suite 204
Babylon, NY 11702-3532
Phone
(631) 482-1344
Fax
(631) 482-1345
NPI assigned
Oct 9, 2008
Last updated
Oct 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2008

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

Authorized official

Name
Eric Loughman, PTNPI 1740367754
Title
Owner
Phone
(631) 482-1344

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 020595-1 NY Primary

Addresses

Primary practice location

124 E Main St
Suite 204
Babylon, NY 11702-3532

Mailing address

124 E Main St
Suite 204
Babylon, NY 11702-3532
Phone (631) 482-1344

Other names 1

  • dynamic performance physical therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223510400000",
    "number": "1629229489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 E MAIN ST",
            "address_2": "SUITE 204",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023532",
            "telephone_number": "631-482-1344",
            "fax_number": "631-482-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 E MAIN ST",
            "address_2": "SUITE 204",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023532",
            "telephone_number": "631-482-1344",
            "fax_number": "631-482-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC LOUGHMAN PTPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-09",
        "last_updated": "2008-10-09",
        "status": "A",
        "authorized_official_last_name": "LOUGHMAN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-482-1344",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "020595-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dynamic performance physical therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; 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.