NPIMap

Organization Active NPI

Theradynamics Physical Rehab

  • Physical Therapist
  • Bay Shore, NY
National Provider Identifier
1639367204
Registry record updated Sep 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
THERADYNAMICS PHYSICAL REHAB
Practice address
1952 Union Blvd
Bay Shore, NY 11706-7920
Phone
(631) 968-0600
NPI assigned
Oct 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2008

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

Authorized official

Name
Irene Partigul, PT
Title
PT
Phone
(631) 220-4234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1952 Union Blvd
Bay Shore, NY 11706-7920

Mailing address

1952 Union Blvd
Bay Shore, NY 11706-7920
Phone (631) 968-0600

National Provider Directory

National Provider Directory
Tax ID family
Theradynamics Physical Rehab6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220313600000",
    "number": "1639367204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1952 UNION BLVD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067920",
            "telephone_number": "631-968-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1952 UNION BLVD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067920",
            "telephone_number": "631-968-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERADYNAMICS PHYSICAL REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2008-09-02",
        "status": "A",
        "authorized_official_last_name": "PARTIGUL",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "631-220-4234",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.