Organization Active NPI

Life Physical Therapy & Wellness, P.C.

  • Physical Therapist
  • East Meadow, NY
National Provider Identifier
1689641417
Registry record updated Aug 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
009019-1 Issued in NY
Legal business name
LIFE PHYSICAL THERAPY & WELLNESS, P.C.
Practice address
2555 Hempstead Tpke
Suite 1
East Meadow, NY 11554-2152
Phone
(516) 735-1018
Fax
(516) 735-3882
NPI assigned
Mar 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2014

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

Authorized official

Name
Janet Ottaiano, P.T.
Title
Owner/Physical Therapist
Phone
(516) 735-1018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 009019-1 NY Primary

Addresses

Primary practice location

2555 Hempstead Tpke
Suite 1
East Meadow, NY 11554-2152

Mailing address

2555 Hempstead Tpke
Suite 1
East Meadow, NY 11554-2152
Phone (516) 735-1018

Other identifiers 8

IdentifierTypeStateIssuer
0459251OtherNYCIGNA
P00170917OtherNYRAILROAD MEDICARE
HIP09396OtherNYHIP
P87110OtherNYOXFORD
21952OtherNYVYTRA
3C7290OtherNYHEALTHNET
608010600OtherNYDEPT OF LABOR - ACS
Q15Z71OtherNYBC/BS

Other names 1

  • Janet Ottaiano, P.T. Other name

National Provider Directory

National Provider Directory

Locations

2555 Hempstead Tpke
Ste 1
East Meadow, NY 11554
Phone (516) 418-2324

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407283200000",
    "number": "1689641417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 HEMPSTEAD TPKE",
            "address_2": "SUITE 1",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115542152",
            "telephone_number": "516-735-1018",
            "fax_number": "516-735-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 HEMPSTEAD TPKE",
            "address_2": "SUITE 1",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115542152",
            "telephone_number": "516-735-1018",
            "fax_number": "516-735-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE PHYSICAL THERAPY & WELLNESS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-01",
        "last_updated": "2014-08-06",
        "status": "A",
        "authorized_official_last_name": "OTTAIANO",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "516-735-1018",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "009019-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0459251",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00170917",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "HIP09396",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P87110",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA",
            "identifier": "21952",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "3C7290",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR - ACS",
            "identifier": "608010600",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "Q15Z71",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Janet Ottaiano, P.T.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in East Meadow, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; 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.