Active NPI
Clare H Larosa, PT
- Physical Therapist
- Port Washington, NY
National Provider Identifier
1699052076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 015141-1
- Practice address
- 1474 Middle Neck Rd
Port Washington, NY 11050-1918 - Phone
- (516) 383-2675
- Fax
- (516) 883-0262
- NPI assigned
- Nov 14, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 015141-1 | NY | Primary |
Addresses
Primary practice location
1474 Middle Neck Rd
Port Washington, NY 11050-1918
Mailing address
1474 Middle Neck Rd
Port Washington, NY 11050-1918
Phone (516) 383-2675
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015141-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Go Physical Therapy and Wellness PC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Roslyn Heights, NY
- NPI 1740573930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321228800000",
"number": "1699052076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1474 MIDDLE NECK RD",
"city": "PORT WASHINGTON",
"state": "NY",
"postal_code": "110501918",
"telephone_number": "516-383-2675",
"fax_number": "516-883-0262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1474 MIDDLE NECK RD",
"city": "PORT WASHINGTON",
"state": "NY",
"postal_code": "110501918",
"telephone_number": "516-383-2675",
"fax_number": "516-883-0262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAROSA",
"first_name": "CLARE",
"middle_name": "H",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-14",
"last_updated": "2011-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "015141-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Washington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.