Three Peaks Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

016755 Issued in NY

Legal business name

THREE PEAKS PHYSICAL THERAPY

Practice address

375 Main St
Suite 1a
Islip, NY 11751-3542

Phone

(631) 226-2918

Fax

(631) 226-2746

NPI assigned

Dec 22, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Tanya Lynn Sheppard, DPT

Title

Director

Phone

(631) 226-2918

Specialties & licenses 7

Addresses

Locations

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

{
    "created_epoch": "1229904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285891200000",
    "number": "1750527784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 607",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117510607",
            "telephone_number": "631-226-2918",
            "fax_number": "631-226-2746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 MAIN ST",
            "address_2": "SUITE 1A",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513542",
            "telephone_number": "631-226-2918",
            "fax_number": "631-226-2746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE PEAKS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-22",
        "last_updated": "2010-10-01",
        "status": "A",
        "authorized_official_last_name": "SHEPPARD",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "631-226-2918",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "016755",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032701",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029690",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "3322",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "013122",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "008590",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "10424",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Juniper House, Incorporated
• Danielle Thomas, FNP
• Mary Thomas, DPM
• Danielle Marjorie Thompsett, M.S., CCC-SLP
• Tara Louisa Thornton, M.S. CCC-SLP
• Shanae Elise Tingling
• Kailyn Toala
• Town of Islip
• Town of Islip
• Kiran Trivedi, D.O.

• Physical Therapist in Islip, NY
• Providers in Islip, 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 Oct 1, 2010; 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.