NPIMap

Organization Active NPI

Sayville Rehabilitation

  • Physical Therapist
  • Sayville, NY
National Provider Identifier
1699982017
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
003353 Issued in NY
Legal business name
SAYVILLE REHABILITATION
Practice address
299 Raft Ave
Sayville, NY 11782-1542
Phone
(631) 265-3910
Fax
(631) 422-3723
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Sheldon G Lieberman, RPTNPI 1871513903
Title
Pres
Phone
(631) 265-3910

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 MULTIPLE SINGLE SPECIALTY GROUP 225100000X 003353 NY Primary

Addresses

Primary practice location

299 Raft Ave
Sayville, NY 11782-1542

Mailing address

501 Route 111 Ste 100
Hauppauge, NY 11788-4350
Phone (631) 265-3910

National Provider Directory

National Provider Directory

Locations

501 Route 111
Ste 100
Hauppauge, NY 11788

299 Raft Ave
Sayville, NY 11782
Phone (631) 265-3910

Practitioners & affiliated clinicians

Practitioners 3

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": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1699982017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 ROUTE 111 STE 100",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884350",
            "telephone_number": "631-265-3910",
            "fax_number": "631-422-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 RAFT AVE",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117821542",
            "telephone_number": "631-265-3910",
            "fax_number": "631-422-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAYVILLE REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "LIEBERMAN",
        "authorized_official_first_name": "SHELDON",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "631-265-3910",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "003353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sayville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.