Individual provider Active NPI

Cindi A Prentiss, P.T.

  • Orthopedic Physical Therapist
  • East Setauket, NY
National Provider Identifier
1639145964
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
009984 Issued in NY
Practice address
196 Belle Mead Rd
Ste 2 and 3
East Setauket, NY 11733-3477
Phone
(631) 941-3535
Fax
(631) 941-3599
NPI assigned
Feb 27, 2006
Last updated
Jan 20, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 009984 NY Primary

Addresses

Primary practice location

196 Belle Mead Rd
Ste 2 and 3
East Setauket, NY 11733-3477

Mailing address

196 Belle Mead Rd
Ste 2 and 3
East Setauket, NY 11733-3477
Phone (631) 941-3535

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050614001241 NY Practitioner - Physical Therapist in Private Practice 7315988524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

59 Landing Ave
Smithtown, NY 11787-2749
Phone (631) 361-5111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009984NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cindi a. Prentiss, PT.,PC. CurrentSince Jan 2, 2001 Accepting new patients
Cindi Prentiss PT PC Orthopedic Past Accepting new patients

Locations

196 N Belle Mead Rd
Ste 2
East Setauket, NY 11733
Phone (631) 941-3535

100 Landing Ave
Ste 2
Smithtown, NY 11787
Phone (631) 361-5111

59 Landing Ave
Ste 2
Smithtown, NY 11787
Phone (631) 361-5111

59 Landing Ave
Ste 4
Smithtown, NY 11787
Phone (631) 361-5111

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484870400000",
    "number": "1639145964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 BELLE MEAD RD",
            "address_2": "STE 2 AND 3",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333477",
            "telephone_number": "631-941-3535",
            "fax_number": "631-941-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 BELLE MEAD RD",
            "address_2": "STE 2 AND 3",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333477",
            "telephone_number": "631-941-3535",
            "fax_number": "631-941-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRENTISS",
        "first_name": "CINDI",
        "middle_name": "A",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2017-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "009984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Setauket, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.