Constance Dunlop, PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

007719-1 Issued in NY

Practice address

1228 Wantagh Avenue
South Shore Pediatric Physical Therapy, LLP
Wantagh, NY 11793

Phone

(516) 785-5257

Fax

(516) 785-5154

NPI assigned

Aug 11, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Constance Mandarino Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218412800000",
    "number": "1760638704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 WANTAGH AVENUE",
            "address_2": "SOUTH SHORE PEDIATRIC PHYSICAL THERAPY, LLP",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "11793",
            "telephone_number": "516-785-5257",
            "fax_number": "516-785-5154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 WANTAGH AVENUE",
            "address_2": "SOUTH SHORE PEDIATRIC PHYSICAL THERAPY, LLP",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "11793",
            "telephone_number": "516-785-5257",
            "fax_number": "516-785-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNLOP",
        "first_name": "CONSTANCE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-11",
        "last_updated": "2008-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "007719-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONSTANCE",
            "last_name": "MANDARINO",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christopher Dressler
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• Joy Dubois-Rogers, SLP
• Jessica A Duffy, OTR/L
• Diana Duvivier, NP-BC, DNP
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• East Meadow Family Practice Assoc PC
• Enriquito Z. Ebuna, P.T.
• Gwenn Eiger, PT

• Pediatric Physical Therapist in Wantagh, NY
• Providers in Wantagh, NY by specialty
• Pediatric Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; 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.