Performance Home Care Physical Therapy PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

014736 Issued in NY

Legal business name

PERFORMANCE HOME CARE PHYSICAL THERAPY PC

Practice address

14 Cosgrove Dr
Glen Cove, NY 11542-2601

Phone

(516) 695-4998

Fax

(516) 801-0428

NPI assigned

Nov 20, 2006

Organization subpart

No

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

Authorized official

Name

Victor Michael Sackett III, P.T.NPI 1982608766

Title

President

Phone

(516) 695-4998

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• Victor Michael Sackett III, PT

  • Physical Therapist
  • Glen Cove, NY
  • NPI 1982608766
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1659445658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 COSGROVE DR",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422601",
            "telephone_number": "516-695-4998",
            "fax_number": "516-801-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 COSGROVE DR",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422601",
            "telephone_number": "516-695-4998",
            "fax_number": "516-801-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE HOME CARE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "SACKETT",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-695-4998",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "014736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dalbeer Kaur Makhan Singh Pawar, P.T
• Genna Loryn Pearl-Abbondandolo, MD
• Pediatric Healthcare Solutions, P.C.
• Jessica Peet
• Katherine Pellerito, MHC
• Herbert S. Perry, M.D.
• Peter J. Kurzweil, M.D., P.C.
• Michele Jo Petherick, P.T.
• Philip a. Bonanno, M.D. P.C.
• Reed E Phillips, M.D.

• Physical Medicine & Rehabilitation Physician in Glen Cove, NY
• Providers in Glen Cove, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.