Soundport PT, PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SOUNDPORT PT, PC

Practice address

713 Walt Whitman Rd Ste B
Melville, NY 11747-2219

Phone

(631) 425-5900

Fax

(631) 424-9850

NPI assigned

Mar 8, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Keith Kalenderian

Title

Director

Phone

(516) 759-9717

Specialties & licenses 1

Addresses

Other names 1

• SoundSide Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emily Pape

  • Physical Therapist
  • Fort Salonga, NY
  • NPI 1134654114
  Medicare reassignment NPD
• Vincent R D'Acunto, DPT

  • Physical Therapist
  • Locust Valley, NY
  • NPI 1891572616
  NPD
• Patrick Gathman, PT, DPT

  • Physical Therapist
  • Hauppauge, NY
  • NPI 1093358046
  NPD
• James Kalenderian, P.T.

  • Physical Therapist
  • Locust Valley, NY
  • NPI 1215010392
  NPD
• Laura Streiber, DPT

  • Physical Therapist
  • Locust Valley, NY
  • NPI 1699548172
  NPD
• Erin Tyler, DPT

  • Physical Therapist
  • Locust Valley, NY
  • NPI 1952076796
  NPD

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

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1710634829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 WALT WHITMAN RD STE B",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117472219",
            "telephone_number": "631-425-5900",
            "fax_number": "631-424-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 WALT WHITMAN RD STE B",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117472219",
            "telephone_number": "631-425-5900",
            "fax_number": "631-424-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUNDPORT PT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-08",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "KALENDERIAN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "516-759-9717",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SoundSide Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fatima Sosa, LMSW
• Sandra Melody Sotke
• Ratchell Souffrance
• George Soulos
• Rose Soulos
• Kathleen Mary Soussi
• Mary Flaskis Spanos
• Jenny T Sparby
• Danielle Spears
• Allison Elizabeth Spedaliere

• Physical Therapist in Melville, NY
• Providers in Melville, 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 May 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.