North Shore Physical Therapy and Occupational Therapy, PLLC

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

0342841 Issued in NY

Legal business name

NORTH SHORE PHYSICAL THERAPY AND OCCUPATIONAL THERAPY, PLLC

Practice address

290 Community Dr
Great Neck, NY 11021-5504

Phone

(516) 304-5530

NPI assigned

Nov 21, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Michael Pfeiffer, OTR

Title

Member

Phone

(516) 304-5530

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1384992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1770913196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 WASHINGTON AVE",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115451543",
            "telephone_number": "516-304-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 COMMUNITY DR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215504",
            "telephone_number": "516-304-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE PHYSICAL THERAPY AND OCCUPATIONAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-21",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "PFEIFFER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "516-304-5530",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "0342841",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "022139",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "0107531",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Shore Lij Physicians Group PC
• North Shore Long Island Jewish
• North Shore Long Island Jewish Health Care Inc
• North Shore Medical Arts, LLP
• North Shore Medical Asscoaites,PC
• North Shore Podiatry, PC
• North Shore Sleep Medicine
• North Shore Surgical Oncology Associates, PC
• North Shore Surgical Specialists, M.D. P.C.
• North Shore Vascular Associates, P.C.

• Pediatric Physical Therapist in Great Neck, NY
• Providers in Great Neck, 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 Nov 27, 2013; 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.