Active NPI
A Positive Physical Therapy Approach PLLC
- Early Intervention Provider Agency
- Commack, NY
National Provider Identifier
1669855748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- 004015
- Legal business name
- A POSITIVE PHYSICAL THERAPY APPROACH PLLC
- Practice address
- 137 Harned Rd
Commack, NY 11725-4203 - Phone
- (631) 543-6765
- Fax
- (631) 543-0612
- NPI assigned
- Jul 7, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Myriam C Moore, MSPT
- Title
- Director / President
- Phone
- (631) 543-6765
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | 004015 | NY | Primary |
Addresses
Primary practice location
137 Harned Rd
Commack, NY 11725-4203
Mailing address
137 Harned Rd
Commack, NY 11725-4203
Phone (631) 543-6765
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03595677 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Case Manager/Care Coordinator
- Commack, NY
- NPI 1336534197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436227200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1436227200000",
"number": "1669855748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "137 HARNED RD",
"city": "COMMACK",
"state": "NY",
"postal_code": "117254203",
"telephone_number": "631-543-6765",
"fax_number": "631-543-0612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 HARNED RD",
"city": "COMMACK",
"state": "NY",
"postal_code": "117254203",
"telephone_number": "631-543-6765",
"fax_number": "631-543-0612"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A POSITIVE PHYSICAL THERAPY APPROACH PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-07",
"last_updated": "2015-07-07",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "MYRIAM",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "DIRECTOR / PRESIDENT",
"authorized_official_telephone_number": "631-543-6765",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MSPT"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "NY",
"license": "004015",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03595677",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Commack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.