NPIMap

Organization Active NPI

PPT Therapies of Western Suffolk PT OT SLP LLP

  • Early Intervention Provider Agency
  • Commack, NY
National Provider Identifier
1760746713
Registry record updated Jun 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
PPT THERAPIES OF WESTERN SUFFOLK PT OT SLP LLP
Practice address
77 Veterans Hwy
Suite 5
Commack, NY 11725-3410
Phone
(631) 499-4344
Fax
(631) 499-4383
NPI assigned
Jun 25, 2012
Last updated
Jun 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2012

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

Authorized official

Name
John E Hofmayer, M.S.P.T.NPI 1881731693
Title
President
Phone
(631) 499-4344

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Early Intervention Provider Agency 252Y00000X NU Primary

Addresses

Primary practice location

77 Veterans Hwy
Suite 5
Commack, NY 11725-3410

Mailing address

77 Veterans Hwy
Suite 5
Commack, NY 11725-3410
Phone (631) 499-4344

Other names 1

  • PPT THERAPIES OF WESTERN SUFFOLK Other name

National Provider Directory

National Provider Directory
Tax ID family
PPT Therapies of Western Suffolk2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1340582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340582400000",
    "number": "1760746713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 VETERANS HWY",
            "address_2": "SUITE 5",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253410",
            "telephone_number": "631-499-4344",
            "fax_number": "631-499-4383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 VETERANS HWY",
            "address_2": "SUITE 5",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253410",
            "telephone_number": "631-499-4344",
            "fax_number": "631-499-4383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PPT THERAPIES OF WESTERN SUFFOLK PT OT SLP LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-25",
        "last_updated": "2012-06-25",
        "status": "A",
        "authorized_official_last_name": "HOFMAYER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-499-4344",
        "authorized_official_credential": "M.S.P.T."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PPT THERAPIES OF WESTERN SUFFOLK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Commack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; 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.