Proactive Physical Therapy and Wellness PC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

0188001 Issued in NY

Legal business name

PROACTIVE PHYSICAL THERAPY AND WELLNESS PC

Practice address

52 Wall St
Huntington, NY 11743-2181

Phone

(516) 398-0875

Fax

(631) 271-3037

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Steven Harry Login, P.T.NPI 1972628279

Title

Owner

Phone

(516) 398-0875

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.

• Steven H Login, PT

  • Physical Therapist
  • Huntington Station, NY
  • NPI 1972628279
  Medicare reassignment Care Compare group NPD Authorized official
• Cynthia I Lett, PT

  • Physical Therapist
  • Great Neck, NY
  • NPI 1265592810
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1679613780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 WALL ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432065",
            "telephone_number": "516-398-0875",
            "fax_number": "631-271-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 WALL ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432181",
            "telephone_number": "516-398-0875",
            "fax_number": "631-271-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE PHYSICAL THERAPY AND WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "LOGIN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "HARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-398-0875",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "0188001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Precisionvbm Partners
• Janet Bailey Preis, NP
• Premiere Podiatry PC
• Nisha Susan Prince-Mattathil, NURSE PRACTITIONER
• Sandra K Prior, R.N.
• Gail Probst, NP
• Nicole Marie Probst, NP
• Professional Occupational & Physical Therapy, PLLC
• Professional Orthopedic and Sports Physical Therapy PC
• Prohealth Care Associates LLP

• Orthopedic Physical Therapist in Huntington, NY
• Providers in Huntington, NY by specialty
• Orthopedic Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.