Dorothy Stack, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0043371 Issued in NY

Practice address

737 Wantagh Ave
Wantagh, NY 11179

Phone

(576) 796-8490

Fax

(576) 796-8771

NPI assigned

Nov 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Plaza Physical Therapy, P.C.

  • Physical Therapist
  • Wantagh, NY
  • NPI 1902055825
  NPD (past) Authorized official

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679647572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 WANTAGH AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "11179",
            "telephone_number": "576-796-8490",
            "fax_number": "576-796-8771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 WANTAGH AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "11179",
            "telephone_number": "576-796-8490",
            "fax_number": "576-796-8771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACK",
        "first_name": "DOROTHY",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0043371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "47197P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH",
            "identifier": "10111850",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "6600490",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Speech Pathology & Swallowing Disorder Services of Nassau, P.C.
• Laura Sperling, RN
• Amanda Spielberg
• Edwina Beatrice Spinelli-Cooke, RN
• Edward Allen Spiro, DDS
• Maritza Tarancon Stan, RPH
• Christina Joan Stanco, LMHC, M.A.
• Lauren Stansfield
• Timothy Stauder, DPT
• Terry Stefanou

• Physical Therapist in Wantagh, NY
• Providers in Wantagh, 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 8, 2007; 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.