NPIMap

Organization Active NPI

First Step Physical Therapy of Long Island

Doing business as First Step Physical Therapy

  • Physical Therapist
  • Melville, NY
National Provider Identifier
1689966178
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
021743 Issued in NY
Legal business name
FIRST STEP PHYSICAL THERAPY OF LONG ISLAND
Doing business as
First Step Physical Therapy
Practice address
900 Walt Whitman Rd
Suite 310
Melville, NY 11747-2293
Phone
(631) 923-2288
NPI assigned
May 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Authorized official

Name
Mr. Kevin Lysaght, PT, OCSNPI 1538361100
Title
Owner
Phone
(631) 923-2288

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 021743 NY Primary

Addresses

Primary practice location

900 Walt Whitman Rd
Suite 310
Melville, NY 11747-2293

Mailing address

900 Walt Whitman Rd
Suite 310
Melville, NY 11747-2293

Other identifiers 1

IdentifierTypeStateIssuer
A300025474OtherNYMEDICARE PTAN

Other names 1

  • First Step Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120223000211 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3072771948 Receives reassigned benefits from 10 practitioners
Practice locations: Bay Shore, NY; Melville, NY

National Provider Directory

National Provider Directory

Locations

234 Orinoco Dr
Brightwaters, NY 11718
Phone (631) 300-0079

900 Walt Whitman Rd
Ste 310
Melville, NY 11747
Phone (631) 923-2288

560 Walt Whitman Rd
Ste 1
Melville, NY 11747
Phone (631) 923-2288

Practitioners & affiliated clinicians

Practitioners 10

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": "1304380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1689966178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WALT WHITMAN RD",
            "address_2": "SUITE 310",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117472293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WALT WHITMAN RD",
            "address_2": "SUITE 310",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117472293",
            "telephone_number": "631-923-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST STEP PHYSICAL THERAPY OF LONG ISLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-03",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "LYSAGHT",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-923-2288",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, OCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "021743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "A300025474",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Step Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Melville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; 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.