Greater Long Island Physical Therapy PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

025563 Issued in NY

Legal business name

GREATER LONG ISLAND PHYSICAL THERAPY PC

Practice address

16 Pashen PL
Dix Hills, NY 11746-6600

Phone

(516) 672-3449

NPI assigned

Apr 11, 2017

Organization subpart

No

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

Authorized official

Name

Dr. David Wenger, DPT

Title

Owner

Phone

(516) 672-3449

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491868800000",
    "number": "1780118240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 PASHEN PL",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 PASHEN PL",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466600",
            "telephone_number": "516-672-3449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER LONG ISLAND PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-11",
        "last_updated": "2017-04-11",
        "status": "A",
        "authorized_official_last_name": "WENGER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-672-3449",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "025563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Edward Gottesman, PH.D.
• Linda Joy Gottlieb, LCSW, LMFT
• Min Goubeaud
• Grace Carriage
• Sarah Gray, COTA
• Stephanie Anne Green, MD
• Elana Greenfield, LMSW
• Teresa Grella-Hillebrand, LMFT
• Matthew Grima
• Lisa D Gross

• Physical Therapy Clinic/Center in Dix Hills, NY
• Providers in Dix Hills, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; 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.