Paul Mylakkattu Thomas

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

022965 Issued in NY

Practice address

7 Weaver LN
Dix Hills, NY 11746-5018

Phone

(631) 871-6626

NPI assigned

Mar 21, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Visiting PT OT Services PLLCGroup PAC ID 1153721899, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Visiting PT OT Services PLLC

  • Physical Therapist
  • Valley Stream, NY
  • NPI 1285232082
  Medicare reassignment Care Compare group NPD
• Paul Adult Health Nurse Practitioner PLLC

  • Adult Health Nurse Practitioner
  • Dix Hills, NY
  • NPI 1467216150
  NPD
• Patriot Family Medical Associates PLLC

  • Family Medicine Physician
  • Valley Stream, NY
  • NPI 1811031776
  NPD (past)

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363824000000",
    "number": "1710229299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 WEAVER LN",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465018",
            "telephone_number": "631-871-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 WEAVER LN",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465018",
            "telephone_number": "631-871-6626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "PAUL",
        "middle_name": "MYLAKKATTU",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-21",
        "last_updated": "2013-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Traveling Physical Therapist
• Tracie Michelle Theotokas, LCSW
• Thomas E. Costello, MD, PT, PLLC
• Thomas Physical Therapy PC
• Daniel Vincent Thomas, LCSW
• Tammie Thomas
• Jennifer Thompson, RN
• Ann Thottam, RN
• Kimberly Susan Tillett
• TMC Therapy LCSW PLLC

• Physical Therapist in Dix Hills, NY
• Providers in Dix Hills, 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 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.