NPIMap

Organization Active NPI

New York Physical Therapy PLLC

Doing business as Doing Business As Centereach Physical Therapy

  • Physical Therapist
  • Centereach, NY
National Provider Identifier
1730109141
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
NEW YORK PHYSICAL THERAPY PLLC
Doing business as
Doing Business As Centereach Physical Therapy
Practice address
4089 Nesconset Highway
Centereach, NY 11720
Phone
(631) 331-6711
Fax
(888) 583-1288
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Cyndi Greene
Title
Managed Care Director
Phone
(631) 813-2143

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

4089 Nesconset Highway
Centereach, NY 11720

Mailing address

120 Newham Avenue
Brentwood, NY 11717
Phone (631) 813-2143

Other names 1

  • Doing Business As Centereach Physical Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Marty Febos10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1730109141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 NEWHAM AVENUE",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "11717",
            "telephone_number": "631-813-2143",
            "fax_number": "888-552-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4089 NESCONSET HIGHWAY",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "11720",
            "telephone_number": "631-331-6711",
            "fax_number": "888-583-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "CYNDI",
        "authorized_official_title_or_position": "MANAGED CARE DIRECTOR",
        "authorized_official_telephone_number": "631-813-2143"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doing Business As Centereach Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centereach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.