Active NPI
Marie D Oosterwijk, P.T.
- Pediatric Physical Therapist
- Lynbrook, NY
National Provider Identifier
1639317092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 011076-1
- Practice address
- 158 Rocklyn Ave
Lynbrook, NY 11563-3732 - Phone
- (516) 872-8085
- NPI assigned
- Jan 23, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 011076-1 | NY | Primary |
Addresses
Primary practice location
158 Rocklyn Ave
Lynbrook, NY 11563-3732
Mailing address
158 Rocklyn Ave
Lynbrook, NY 11563-3732
Phone (516) 872-8085
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01176-1 | Other | NY | NY STATE PT LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011076-1 | NY | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232668800000",
"number": "1639317092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "158 ROCKLYN AVE",
"city": "LYNBROOK",
"state": "NY",
"postal_code": "115633732",
"telephone_number": "516-872-8085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "158 ROCKLYN AVE",
"city": "LYNBROOK",
"state": "NY",
"postal_code": "115633732",
"telephone_number": "516-872-8085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OOSTERWIJK",
"first_name": "MARIE",
"middle_name": "D",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-23",
"last_updated": "2009-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NY",
"license": "011076-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NY STATE PT LICENSE",
"identifier": "01176-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lynbrook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.