Organization Active NPI

Reach for the Stars Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • Smithtown, NY
National Provider Identifier
1659631745
Registry record updated May 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
018817-1 Issued in NY
Legal business name
REACH FOR THE STARS PHYSICAL THERAPY, P.C.
Practice address
48 Neil Dr
Smithtown, NY 11787-1241
Phone
(631) 786-7911
NPI assigned
May 22, 2012
Last updated
May 22, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2012

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

Authorized official

Name
Mr. Thomas George Lucca II, P.T.NPI 1891738837
Title
Owner/Physical Therapist
Phone
(631) 786-7911

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 Therapy Clinic/Center 261QP2000X 018817-1 NY Primary

Addresses

Primary practice location

48 Neil Dr
Smithtown, NY 11787-1241

Mailing address

48 Neil Dr
Smithtown, NY 11787-1241
Phone (631) 786-7911

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120713000056 NY Part B Supplier - Clinic/Group Practice 1456516699 Receives reassigned benefits from 1 practitioner
Practice locations: Smithtown, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1659631745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 NEIL DR",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117871241",
            "telephone_number": "631-786-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 NEIL DR",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117871241",
            "telephone_number": "631-786-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REACH FOR THE STARS PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-22",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "LUCCA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "631-786-7911",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "018817-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.