Organization Active NPI

Advanced Physical and Occupational Therapy PLLC

  • Physical Therapist
  • East Northport, NY
National Provider Identifier
1730341504
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
014003 Issued in NY
Legal business name
ADVANCED PHYSICAL AND OCCUPATIONAL THERAPY PLLC
Practice address
346B Larkfield Rd
East Northport, NY 11731-2905
Phone
(631) 623-6371
Fax
(631) 623-6373
NPI assigned
Jul 1, 2008
Last updated
Jul 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Mrs. Mary Elizabeth Carr-McCreight, OTR/L
Title
Managing Member
Phone
(631) 220-4234

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 014003 NY Primary
Occupational Therapist 225X00000X 010893-1 NY
Pediatric Occupational Therapist 225XP0200X 010893-1 NY

Addresses

Primary practice location

346B Larkfield Rd
East Northport, NY 11731-2905

Mailing address

346B Larkfield Rd
East Northport, NY 11731-2905
Phone (631) 623-6371

National Provider Directory

National Provider Directory

Locations

346B Larkfield Rd
East Northport, NY 11731
Phone (631) 623-6371

694 Fort Salonga Rd
Ste 2
Northport, NY 11768
Phone (631) 623-6371

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1730341504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346B LARKFIELD RD",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117312905",
            "telephone_number": "631-623-6371",
            "fax_number": "631-623-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346B LARKFIELD RD",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117312905",
            "telephone_number": "631-623-6371",
            "fax_number": "631-623-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PHYSICAL AND OCCUPATIONAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "CARR-MCCREIGHT",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "631-220-4234",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "014003",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "010893-1",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "010893-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Northport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.