NPIMap

Organization Active NPI

The Traveling Physical Therapist

  • Physical Therapist
  • Dix Hills, NY
National Provider Identifier
1750847752
Registry record updated Feb 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
THE TRAVELING PHYSICAL THERAPIST
Practice address
117 Stonehurst LN
Dix Hills, NY 11746-7930
Phone
(646) 733-4737
NPI assigned
Feb 14, 2019
Last updated
Feb 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2019

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

Authorized official

Name
Dr. Daniel Davids, PT DPT CSCSNPI 1497185425
Title
Owner
Phone
(646) 733-4737

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

117 Stonehurst LN
Dix Hills, NY 11746-7930

Mailing address

150 Vets Hwy Unit 141
Commack, NY 11725-6408
Phone (917) 207-3541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190520001352 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6103169933 Receives reassigned benefits from 27 practitioners
Practice locations: Dix Hills, NY

National Provider Directory

National Provider Directory

Locations

150 Vets Hwy
Unit 141
Commack, NY 11725
Phone (646) 733-4737

Practitioners & affiliated clinicians

Practitioners 29

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.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550102400000",
    "number": "1750847752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 VETS HWY UNIT 141",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117256408",
            "telephone_number": "917-207-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 STONEHURST LN",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117467930",
            "telephone_number": "646-733-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE TRAVELING PHYSICAL THERAPIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-14",
        "last_updated": "2019-02-14",
        "status": "A",
        "authorized_official_last_name": "DAVIDS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-733-4737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT DPT CSCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dix Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; 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.