Latitude PT Ny

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

LATITUDE PT NY

Practice address

34 Bay St
Sag Harbor, NY 11963-3104

Phone

(917) 672-3319

NPI assigned

Jul 17, 2024

Last updated

Jul 17, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William CollinsNPI 1922542851

Title

Owner

Phone

(631) 241-3698

Specialties & licenses 1

Addresses

Locations

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.

• William Collins, DPT

  • Orthopedic Physical Therapist
  • New York, NY
  • NPI 1922542851
  NPD Authorized official

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1669210365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 552",
            "city": "SAG HARBOR",
            "state": "NY",
            "postal_code": "119630012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 BAY ST",
            "city": "SAG HARBOR",
            "state": "NY",
            "postal_code": "119633104",
            "telephone_number": "917-672-3319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 Madison Ave Rm 702",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100175434",
            "country_code": "US",
            "telephone_number": "917-672-3319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LATITUDE PT NY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-241-3698"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Jayne Kirby, DC
• Nicole Knoebel, OTR/L
• Jaime Lynn Kosinski, M.S. CCC-SLP
• Kse Speech Therapy, PLLC
• Latitude Physical Therapy
• Kurt H. Leggard, REGISTERED NURSE
• Susan F Lesser, LCSW
• Anne Libby, LCSW CASAC NBCCH MA
• Christina Lindstrom, PHD
• Michele Helene Liot, CNM

• Physical Therapist in Sag Harbor, NY
• Providers in Sag Harbor, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.