South Shore Physical Therapy, Occupational Therapy & Speech Language

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SOUTH SHORE PHYSICAL THERAPY, OCCUPATIONAL THERAPY & SPEECH LANGUAGE

Practice address

35 Railroad Ave
Box 1264
Center Moriches, NY 11934-6000

Phone

(631) 841-3899

NPI assigned

Aug 26, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Timothy Glover

Title

Ceo

Phone

(631) 848-9108

Specialties & licenses 5

Addresses

Other names 1

• Integrated Therapeutic Solutions Doing business as

Locations

Practitioners 3

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

• Leslie A. Saravay, P.T.

  • Physical Therapist
  • Greenlawn, NY
  • NPI 1588755060
  NPD (past)
• Roberto Cachuela Tianzon Jr.

  • Physical Therapist
  • Levittown, NY
  • NPI 1689804858
  NPD (past)
• Christopher Zito, PHYSICAL THERAPIST

  • Physical Therapist
  • Saint James, NY
  • NPI 1518123538
  NPD (past)

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456272000000",
    "number": "1740657709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1264",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119347264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 RAILROAD AVE",
            "address_2": "BOX 1264",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119346000",
            "telephone_number": "631-841-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE PHYSICAL THERAPY, OCCUPATIONAL THERAPY & SPEECH LANGUAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-26",
        "last_updated": "2016-02-24",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "631-848-9108",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated Therapeutic Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sleep Disorder Center
• Sleep Disorder Center of Ny, Inc.
• Stephen Mark Sokoloff, DDS
• South Bay Medical Care P.C.
• South Shore Physical Therapy P.C.
• Nicholas S Spano, N.P.
• Stephanie Ann Speckhardt
• Kathleen Sposato, M.S.
• Ellen Stein, LCSW
• Joan Stong, LCSW

• Physical Therapist in Center Moriches, NY
• Providers in Center Moriches, 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 Feb 24, 2016; 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.