Mid-Island Physical Therapy, PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

021146 Issued in NY

Legal business name

MID-ISLAND PHYSICAL THERAPY, PLLC

Practice address

1255 Middle Country Rd
Middle Island, NY 11953-2515

Phone

(631) 345-0073

Fax

(631) 345-2054

NPI assigned

Oct 19, 2007

Organization subpart

No

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

Authorized official

Name

Robert A. Bartoli Jr., P.TNPI 1467652792

Title

Physical Therapist Owner

Phone

(631) 345-0073

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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

• Robert Bartoli Jr., PT

  • Specialist
  • Middle Island, NY
  • NPI 1467652792
  Medicare reassignment NPD Authorized official
• Albert Sagnella, MAPT

  • Physical Therapist
  • Moriches, NY
  • NPI 1235103821
  NPD (past)

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1669661211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "119530066",
            "telephone_number": "631-345-0073",
            "fax_number": "631-345-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 MIDDLE COUNTRY RD",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "119532515",
            "telephone_number": "631-345-0073",
            "fax_number": "631-345-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-ISLAND PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "BARTOLI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST OWNER",
        "authorized_official_telephone_number": "631-345-0073",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "P.T"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "021146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura A Melillo, RN
• Alexandria Geneve Melito, LMSW
• Michele Leigh Mensch, ATC,CSCS,CKTP
• Bill Rene Meritet, LCSW
• Alexander John Michalos, OTR/L
• Middle Island Dental Works
• Middle Island Fire District
• Mark Mihopulos, M.S.ED.
• Brianne Christine Miller
• Toni Michelle Miller, LPN

• Physical Medicine & Rehabilitation Physician in Middle Island, NY
• Providers in Middle Island, 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 Mar 25, 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.