NPIMap

Organization Active NPI

Sports Physical Therapy Occupational Therapy and Rehabilitation Servic

  • Hand Physical Therapist
  • East Meadow, NY
National Provider Identifier
1770540593
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Physical TherapistTaxonomy code 2251H1200X
Legal business name
SPORTS PHYSICAL THERAPY OCCUPATIONAL THERAPY AND REHABILITATION SERVIC
Practice address
801 Merrick Ave
East Meadow, NY 11554
Phone
(516) 393-8900
Fax
(516) 393-8869
NPI assigned
Apr 26, 2006
Last updated
Dec 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Authorized official

Name
Daniel Vaknin, PTNPI 1952368102
Title
Vice President
Phone
(516) 321-7801

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Physical Therapist 2251H1200X Primary
Hand Occupational Therapist 225XH1200X

Addresses

Primary practice location

801 Merrick Ave
East Meadow, NY 11554

Mailing address

3 Huntington Quadrangle Ste 103N
Melville, NY 11747-4601
Phone (516) 474-2816

Other names 1

  • Sports Therapy and Rehabilitation Serv O Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040315001603 NY Part B Supplier - Clinic/Group Practice 0446140446 Receives reassigned benefits from 791 practitioners
O20160217002440 NY DME Supplier - Independently-Practicing Physical TherapistDME Supplier - Independently-Practicing Occupational Therapist 0446140446 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Great Neck, NY
O20160527001993 NY DME Supplier - Independently-Practicing Physical TherapistDME Supplier - Independently-Practicing Occupational Therapist 0446140446 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: East Meadow, NY

Other NPIs with the same Medicare PAC ID 19

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 19

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

376 E Main St
Ste 201
Bay Shore, NY 11706
Phone (631) 273-3080

1948 Deer Park Ave
Fl 1
Deer Park, NY 11729
Phone (631) 337-1099

200 Merrick Ave
East Meadow, NY 11554
Phone (516) 266-5700

801 Merrick Ave
East Meadow, NY 11554
Phone (516) 393-8900

3 Technology Dr
Ste 100
East Setauket, NY 11733
Phone (631) 331-1000

8040 Cooper Ave
Glendale, NY 11385
Phone (718) 725-7970

8040 Cooper Ave
Fl 2
Glendale, NY 11385
Phone (718) 725-7970

833 Northern Blvd
Ste 235
Great Neck, NY 11021
Phone (516) 288-3400

3500 Sunrise Hwy
Ste 111
Great River, NY 11739
Phone (631) 650-6545

270 Pulaski Rd
Ste A
Greenlawn, NY 11740
Phone (631) 423-1414

210 N Central Ave
Ste 330
Hartsdale, NY 10530
Phone (914) 873-1878

120 Hofstra University
Hempstead, NY 11549

276 Katonah Ave
Katonah, NY 10536
Phone (212) 233-1480

115 E 23rd St
Fl 2
New York, NY 10010
Phone (212) 475-7766

2067 Broadway
Fl 4
New York, NY 10023
Phone (212) 799-0160

2599 Broadway
New York, NY 10025
Phone (212) 222-2270

2001 Marcus Ave
Ste W290
North New Hyde Park, NY 11042
Phone (516) 238-9282

1201 Route 112
Ste 700
Port Jefferson Station, NY 11776
Phone (631) 928-8228

4 Expressway Plz
Roslyn Heights, NY 11577
Phone (516) 621-1170

66 Powerhouse Rd
Ste 304
Roslyn Heights, NY 11577
Phone (516) 621-1170

3311 Hylan Blvd
Staten Island, NY 10306
Phone (718) 351-3111

653 White PLNS Rd
Tarrytown, NY 10591

Practitioners & affiliated clinicians

Practitioners 836

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 836

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1770540593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HUNTINGTON QUADRANGLE STE 103N",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474601",
            "telephone_number": "516-474-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MERRICK AVE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "11554",
            "telephone_number": "516-393-8900",
            "fax_number": "516-393-8869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS PHYSICAL THERAPY OCCUPATIONAL THERAPY AND REHABILITATION SERVIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "VAKNIN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "516-321-7801",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251H1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Hand",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sports Therapy and Rehabilitation Serv O",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Sports Therapy and Rehabilitation Serv O",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in East Meadow, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.