NPIMap

Organization Active NPI

Merrick Physical Therapy PLLC

  • Physical Therapist
  • Merrick, NY
National Provider Identifier
1760616593
Registry record updated May 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MERRICK PHYSICAL THERAPY PLLC
Practice address
2092 Merrick Ave
Merrick, NY 11566-3147
Phone
(516) 223-4300
Fax
(516) 223-1142
NPI assigned
May 7, 2009
Last updated
May 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2009

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

Authorized official

Name
Mr. Joseph M Ruisi, P.T.NPI 1225109606
Title
Physical Therapist
Phone
(516) 223-4300

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

2092 Merrick Ave
Merrick, NY 11566-3147

Mailing address

2092 Merrick Ave
Merrick, NY 11566-3147
Phone (516) 223-4300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090717000434 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6305998634 Receives reassigned benefits from 7 practitioners
Practice locations: Merrick, NY; Greenlawn, NY

National Provider Directory

National Provider Directory

Locations

759 Pulaski Rd
Greenlawn, NY 11740
Phone (631) 261-6680

2092 Merrick Ave
North Merrick, NY 11566
Phone (516) 223-4300

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241654400000",
    "number": "1760616593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2092 MERRICK AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663147",
            "telephone_number": "516-223-4300",
            "fax_number": "516-223-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2092 MERRICK AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663147",
            "telephone_number": "516-223-4300",
            "fax_number": "516-223-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRICK PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-07",
        "last_updated": "2009-05-07",
        "status": "A",
        "authorized_official_last_name": "RUISI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "516-223-4300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "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 Merrick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; 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.