Professional Orthopedic and Sports Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY PC

Practice address

90 Northern Blvd Unit 6
C/O Equinox
Greenvale, NY 11548-1213

Phone

(516) 626-5080

Fax

(516) 626-5081

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Helen Agrelo

Title

Regional Business Manager

Phone

(516) 794-3278

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522281600000",
    "number": "1699887992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 BROADHOLLOW RD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117475002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 NORTHERN BLVD UNIT 6",
            "address_2": "C/O EQUINOX",
            "city": "GREENVALE",
            "state": "NY",
            "postal_code": "115481213",
            "telephone_number": "516-626-5080",
            "fax_number": "516-626-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2018-03-29",
        "status": "A",
        "authorized_official_last_name": "AGRELO",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "REGIONAL BUSINESS MANAGER",
        "authorized_official_telephone_number": "516-794-3278"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Peters, M.D.
• Erica Lee Poole, MS, GC
• Lawrence Alan Popkin, D.D.S.
• Daniel Ari Popowich, MD
• Professional Occupational & Physical Therapy, PLLC
• Proneurodiagnostics
• Propel Physical Therapy PC
• Nicole M Ptak-Yenchman, D.D.S
• Punam Prabhakar MD PC
• Purecare Pharmacy and Wellness Inc

• Physical Therapist in Greenvale, NY
• Providers in Greenvale, 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 Mar 29, 2018; 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.