NPIMap

Organization Active NPI

Soundside Physical Therapy P.C.

  • Physical Therapist
  • Locust Valley, NY
National Provider Identifier
1679679419
Registry record updated Feb 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
020499 Issued in NY
Legal business name
SOUNDSIDE PHYSICAL THERAPY P.C.
Practice address
146 Birch Hill Rd
Locust Valley, NY 11560-1833
Phone
(516) 759-9717
Fax
(516) 759-1666
NPI assigned
Sep 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2009

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

Authorized official

Name
Mrs. Patricia A Baffi
Title
Office Manager
Phone
(516) 759-9717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 020499 NY Primary

Addresses

Primary practice location

146 Birch Hill Rd
Locust Valley, NY 11560-1833

Mailing address

146 Birch Hill Rd
Locust Valley, NY 11560-1833
Phone (516) 759-9717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040317001456 NY Part B Supplier - Clinic/Group Practice 8527958164 Receives reassigned benefits from 9 practitioners
Practice locations: Levittown, NY; Locust Valley, NY; Jericho, NY

National Provider Directory

National Provider Directory

Locations

200 Robbins Ln
Jericho, NY 11753

200 Robbins Ln
Unit D2
Jericho, NY 11753
Phone (516) 723-4020

196 Birch Hill Rd
Locust Valley, NY 11560
Phone (516) 628-1904

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235520000000",
    "number": "1679679419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 BIRCH HILL RD",
            "city": "LOCUST VALLEY",
            "state": "NY",
            "postal_code": "115601833",
            "telephone_number": "516-759-9717",
            "fax_number": "516-759-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 BIRCH HILL RD",
            "city": "LOCUST VALLEY",
            "state": "NY",
            "postal_code": "115601833",
            "telephone_number": "516-759-9717",
            "fax_number": "516-759-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUNDSIDE PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2009-02-25",
        "status": "A",
        "authorized_official_last_name": "BAFFI",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "516-759-9717",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "020499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Locust Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; 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.