NPIMap

Organization Active NPI

Go Physical Therapy and Wellness PC

  • Physical Therapist
  • Roslyn Heights, NY
National Provider Identifier
1740573930
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
GO PHYSICAL THERAPY AND WELLNESS PC
Practice address
5 Edwards St
Apt 1G
Roslyn Heights, NY 11577-1105
Phone
(516) 946-6442
NPI assigned
May 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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

Authorized official

Name
Michael Zagare, PT
Title
President
Phone
(516) 946-6442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

5 Edwards St
Apt 1G
Roslyn Heights, NY 11577-1105

Mailing address

5 Edwards St
Apt 1G
Roslyn Heights, NY 11577-1105
Phone (516) 946-6442

Other names 1

  • Distinctive Home Physical Therapy, PC Former legal business name

National Provider Directory

National Provider Directory

Locations

165 Eileen Way
#2
Syosset, NY 11791
Phone (516) 712-6221

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1305763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1740573930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 EDWARDS ST",
            "address_2": "APT 1G",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771105",
            "telephone_number": "516-946-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 EDWARDS ST",
            "address_2": "APT 1G",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771105",
            "telephone_number": "516-946-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GO PHYSICAL THERAPY AND WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-19",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "ZAGARE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-946-6442",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Distinctive Home Physical Therapy, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Roslyn Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.