South Shore Physical Therapy P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5685-1 Issued in NY

Legal business name

SOUTH SHORE PHYSICAL THERAPY P.C.

Practice address

220 Main St
Suite 3
Center Moriches, NY 11934-3504

Phone

(631) 878-4545

Fax

(631) 878-4573

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Mr. William M. Herro, P.T.NPI 1194745083

Title

President

Phone

(631) 878-4545

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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

• William M. Herro, PT

  • Physical Therapist
  • Center Moriches, NY
  • NPI 1194745083
  Medicare reassignment NPD Authorized official
• Alice Margaret Herro, PT

  • Physical Therapist
  • Center Moriches, NY
  • NPI 1871890350
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750422705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 MAIN ST",
            "address_2": "SUITE 3",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119343504",
            "telephone_number": "631-878-4545",
            "fax_number": "631-878-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 MAIN ST",
            "address_2": "SUITE 3",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119343504",
            "telephone_number": "631-878-4545",
            "fax_number": "631-878-4573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERRO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-878-4545",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "5685-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "1310650",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "51503",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MPN",
            "identifier": "130065",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3989276",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "970755",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hirendra Pratap Sinha, MD
• Sleep Disorder Center
• Sleep Disorder Center of Ny, Inc.
• Stephen Mark Sokoloff, DDS
• South Bay Medical Care P.C.
• South Shore Physical Therapy, Occupational Therapy & Speech Language
• Nicholas S Spano, N.P.
• Stephanie Ann Speckhardt
• Kathleen Sposato, M.S.
• Ellen Stein, 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 Aug 22, 2020; 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.