NPIMap

Organization Active NPI

Marathon Physical Therapy of Ny PC

  • Physical Therapist
  • Great Neck, NY
National Provider Identifier
1649544834
Registry record updated Jul 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
026322 Issued in NY
Legal business name
MARATHON PHYSICAL THERAPY OF NY PC
Practice address
556B Middle Neck Rd
Great Neck, NY 11023-1422
Phone
(516) 487-9810
Fax
(516) 773-7315
NPI assigned
Mar 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2014

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

Authorized official

Name
Dr. Negin Jalayer, PT, DPTNPI 1629151386
Title
President/Owner
Phone
(516) 487-9810

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 026322 NY Primary

Addresses

Primary practice location

556B Middle Neck Rd
Great Neck, NY 11023-1422

Mailing address

556B Middle Neck Rd
Great Neck, NY 11023-1422
Phone (516) 487-9810

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140722000073 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5991921330 Receives reassigned benefits from 11 practitioners
Practice locations: Great Neck, NY; Floral Park, NY

National Provider Directory

National Provider Directory

Locations

246 Jericho Tpke
Floral Park, NY 11001
Phone (516) 531-7879

556 Middle Neck Rd
Apt B
Great Neck, NY 11023

556B Middle Neck Rd
Great Neck, NY 11023
Phone (516) 487-9810

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405036800000",
    "number": "1649544834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556B MIDDLE NECK RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110231422",
            "telephone_number": "516-487-9810",
            "fax_number": "516-773-7315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556B MIDDLE NECK RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110231422",
            "telephone_number": "516-487-9810",
            "fax_number": "516-773-7315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARATHON PHYSICAL THERAPY OF NY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2014-07-11",
        "status": "A",
        "authorized_official_last_name": "JALAYER",
        "authorized_official_first_name": "NEGIN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "516-487-9810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "026322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.