Peconic Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

025827-1 Issued in NY

Legal business name

PECONIC PHYSICAL THERAPY

Practice address

97 W Montauk Hwy
Hampton Bays, NY 11946-4001

Phone

(631) 723-0801

Fax

(631) 723-0802

NPI assigned

Mar 6, 2008

Last updated

Mar 6, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason Lennon, PTNPI 1063564235

Title

President

Phone

(631) 723-0801

Specialties & licenses 1

Addresses

Locations

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.

• Jason A Lennon, PT

  • Physical Therapist
  • Hampton Bays, NY
  • NPI 1063564235
  Authorized official Same address or phone
• Scott L Paskiewicz, PT

  • Physical Therapist
  • Ridge, NY
  • NPI 1477605632
  NPD (past)

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1700056660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 W MONTAUK HWY",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119464001",
            "telephone_number": "631-723-0801",
            "fax_number": "631-723-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 W MONTAUK HWY",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119464001",
            "telephone_number": "631-723-0801",
            "fax_number": "631-723-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PECONIC PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "LENNON",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-723-0801",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "025827-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Elizabeth Nunziata, RPA-C
• Andrea M Nydegger, LCSW
• Kristin Elizabeth Orabone, O.D.
• Steven Paul Ouzounian, M.D.
• Randy Lee Parr, RPA
• Emily Pederson, MD
• Joan Perrone
• Lisa R Pfleger, OPTICIAN
• Eileen Elizabeth Philbin, R.N.
• Althea Elizabeth Phillips, RN/BSN

• Physical Therapist in Hampton Bays, NY
• Providers in Hampton Bays, 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 6, 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.