Advance at Home Physical Therapy P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

024884-1 Issued in NY

Legal business name

ADVANCE AT HOME PHYSICAL THERAPY P.C.

Practice address

39 East St
New Hyde Park, NY 11040-1322

Phone

(516) 946-8624

Fax

(516) 214-6563

NPI assigned

Jan 18, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Sajan Johnson, MSPTNPI 1487824280

Title

Physical Therapist

Phone

(516) 946-8624

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sajan Johnson, PT, MS, GCS

  • Physical Therapist
  • New Hyde Park, NY
  • NPI 1487824280
  Authorized official Same address or phone
• Steven A Gazzo, MAPT

  • Physical Therapist
  • Massapequa, NY
  • NPI 1326361650
  NPD (past)

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1689979908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 EAST ST",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401322",
            "telephone_number": "516-946-8624",
            "fax_number": "516-214-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 EAST ST",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401322",
            "telephone_number": "516-946-8624",
            "fax_number": "516-214-6563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE AT HOME PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SAJAN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "516-946-8624",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "024884-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Diane Adimando, RN, MSN, PNP
• Michael Edward Adler, MD
• Philip A Adler, MD
• Maria Adragna
• Maria C Adragna, MD
• Advanced Dermatology PC
• Advanced Medical of New York, PLLC
• Victoria Adzhiashvili
• Aesthetic and Surgical Dermatology of New York, P.C.
• Anika Afroz-Hossain, MD

• Physical Therapist in New Hyde Park, NY
• Providers in New Hyde Park, 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 Jan 18, 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.