Blue PT Physical Therapy PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BLUE PT PHYSICAL THERAPY PLLC

Practice address

155 W Sunrise Hwy Unit 2
Lindenhurst, NY 11757-2434

Phone

(631) 592-1500

NPI assigned

Mar 21, 2021

Last updated

Jul 25, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gina Baglivio

Title

Office Manager

Phone

(631) 888-4342

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1616284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658707200000",
    "number": "1629654645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 W SUNRISE HWY UNIT 2",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117572434",
            "telephone_number": "631-592-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 W SUNRISE HWY UNIT 2",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117572434",
            "telephone_number": "631-592-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE PT PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-21",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-14",
        "status": "A",
        "authorized_official_last_name": "BAGLIVIO",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "631-888-4342"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose Blaise
• Amalia C. Blake, MS.ED
• Blessed Healthcare and Staffing Agency
• Dominique Dorothy Block, NP
• Blossoming Lotus Therapy LCSW PLLC
• Caroline A. Boettcher, PSY.D.
• Jorge Bonilla, M.D
• Lindsey Garcia Borges, MA, BCBA, LBA
• Nicole M Borgesano, LMT
• Gabriela Botero

• Physical Therapy Clinic/Center in Lindenhurst, NY
• Providers in Lindenhurst, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.