Longwood Sports Therapy PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

014526 Issued in NY

Legal business name

LONGWOOD SPORTS THERAPY PC

Practice address

356 Middle Country Rd
Suite 210
Coram, NY 11727-4432

Phone

(631) 716-2700

Fax

(631) 716-2782

NPI assigned

May 17, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Richard John Flynn Jr., P.T.

Title

Owner

Phone

(631) 716-2700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428451200000",
    "number": "1639386998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 MIDDLE COUNTRY RD",
            "address_2": "SUITE 210",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117274432",
            "telephone_number": "631-716-2700",
            "fax_number": "631-716-2782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 MIDDLE COUNTRY RD",
            "address_2": "SUITE 210",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117274432",
            "telephone_number": "631-716-2700",
            "fax_number": "631-716-2782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGWOOD SPORTS THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2015-04-08",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-716-2700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "014526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Liscia
• Shari Lynn Loewenthal, SPECIAL EDUCATOR
• Melissa Lofaro, R.N.
• Jade Elizabeth Lominy, LAC
• Longwood Foot Care, P.C.
• Sarah Yung Lu
• David Luciano, LPN
• M8 Consulting LLC
• Sharon L. Mackoul, LPN
• Robert Peter Maddalena, DDS

• Physical Therapy Clinic/Center in Coram, NY
• Providers in Coram, 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 Apr 8, 2015; 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.