Organization Active NPI

David Lipetz Physical Therapy, PLLC

  • Physical Therapist
  • Garden City, NY
National Provider Identifier
1689778243
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
026960 Issued in NY
Legal business name
DAVID LIPETZ PHYSICAL THERAPY, PLLC
Practice address
1399 Franklin Ave
Suite 101
Garden City, NY 11530-7400
Phone
(516) 248-4264
Fax
(516) 248-4265
NPI assigned
Sep 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2011

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

Authorized official

Name
Mr. David Ian Lipetz, P.T.NPI 1932151180
Title
Owner / Director
Phone
(516) 248-4264

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 026960 NY Primary

Addresses

Primary practice location

1399 Franklin Ave
Suite 101
Garden City, NY 11530-7400

Mailing address

1399 Franklin Ave
Suite 101
Garden City, NY 11530-7400
Phone (516) 248-4264

Other identifiers 1

IdentifierTypeStateIssuer
Q24R91OtherNYBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1399 Franklin Ave
Ste 101
Garden City, NY 11530
Phone (516) 248-4264

Practitioners & affiliated clinicians

Practitioners 1

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": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1689778243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1399 FRANKLIN AVE",
            "address_2": "SUITE 101",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115307400",
            "telephone_number": "516-248-4264",
            "fax_number": "516-248-4265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1399 FRANKLIN AVE",
            "address_2": "SUITE 101",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115307400",
            "telephone_number": "516-248-4264",
            "fax_number": "516-248-4265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID LIPETZ PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "LIPETZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "IAN",
        "authorized_official_title_or_position": "OWNER / DIRECTOR",
        "authorized_official_telephone_number": "516-248-4264",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "026960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE  SHIELD",
            "identifier": "Q24R91",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; 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.