Organization Active NPI

Ultimate Physical Therapy

  • Physical Therapist
  • Bellmore, NY
National Provider Identifier
1699878058
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
019138 Issued in NY
Legal business name
ULTIMATE PHYSICAL THERAPY
Practice address
2631 Merrick Rd
Suite 302
Bellmore, NY 11710-5784
Phone
(516) 785-0101
Fax
(516) 781-5706
NPI assigned
Sep 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sheela Exito, P.T.
Title
Owner
Phone
(516) 785-0101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 019138 NY Primary

Addresses

Primary practice location

2631 Merrick Rd
Suite 302
Bellmore, NY 11710-5784

Mailing address

2631 Merrick Rd
Suite 302
Bellmore, NY 11710-5784
Phone (516) 785-0101

National Provider Directory

National Provider Directory

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": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699878058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2631 MERRICK RD",
            "address_2": "SUITE 302",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117105784",
            "telephone_number": "516-785-0101",
            "fax_number": "516-781-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2631 MERRICK RD",
            "address_2": "SUITE 302",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117105784",
            "telephone_number": "516-785-0101",
            "fax_number": "516-781-5706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EXITO",
        "authorized_official_first_name": "SHEELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-785-0101",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "019138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.