NPIMap

Organization Active NPI

Professional Care Physical Therapy and Rehabilitation P.C

  • Physical Therapist
  • East Patchogue, NY
National Provider Identifier
1659518157
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
025766 Issued in NY
Legal business name
PROFESSIONAL CARE PHYSICAL THERAPY AND REHABILITATION P.C
Practice address
191 Patchogue Yaphank Rd
East Patchogue, NY 11772-4899
Phone
(631) 775-0971
Fax
(631) 475-0975
NPI assigned
Jan 21, 2009
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
George Ciresi III, D.P.T.NPI 1366484651
Title
Owner
Phone
(631) 775-0971

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

Corporate family (same tax ID) 1

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

Practitioners 29

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

View all 29

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20090304000028 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7517023351 Receives reassigned benefits from 28 practitioners
Practice locations: East Patchogue, NY; Riverhead, NY; Islip, NY

National Provider Directory

National Provider Directory
Tax ID family
Professional Care Physical Therapy (2 organizations share this tax ID)

Locations

285 Sills Rd
Bldg 10
East Patchogue, NY 11772
Phone (631) 447-6600

518 E Main St
Riverhead, NY 11901
Phone (631) 287-1663

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 025766 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

191 Patchogue Yaphank Rd
East Patchogue, NY 11772-4899

Mailing address

191 Patchogue Yaphank Rd
East Patchogue, NY 11772-4899
Phone (631) 775-0971

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
025766OtherNYLICENSE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 7, 2019.

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573084800000",
    "number": "1659518157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 PATCHOGUE YAPHANK RD",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724899",
            "telephone_number": "631-775-0971",
            "fax_number": "631-475-0975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 PATCHOGUE YAPHANK RD",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724899",
            "telephone_number": "631-775-0971",
            "fax_number": "631-475-0975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL CARE PHYSICAL THERAPY AND REHABILITATION P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-21",
        "last_updated": "2019-11-07",
        "status": "A",
        "authorized_official_last_name": "CIRESI",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-775-0971",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "025766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "025766",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Patchogue, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.