Organization Active NPI

Powers Physio-Fit Physical Therapy P.C.

  • Physical Therapist
  • East Setauket, NY
National Provider Identifier
1780870758
Registry record updated Sep 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
008596-1 Issued in NY
Legal business name
POWERS PHYSIO-FIT PHYSICAL THERAPY P.C.
Practice address
128 Old Town Rd
Setauket Office Park(Lower Level)
East Setauket, NY 11733-2064
Phone
(631) 444-5603
Fax
(631) 444-5604
NPI assigned
Sep 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2007

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

Authorized official

Name
Mrs. Regina Grace Powers, P.T.,M.S.NPI 1114968872
Title
President
Phone
(631) 444-5603

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 008596-1 NY Primary

Addresses

Primary practice location

128 Old Town Rd
Setauket Office Park(Lower Level)
East Setauket, NY 11733-2064

Mailing address

128 Old Town Rd
Setauket Office Park(Lower Level)
East Setauket, NY 11733-2064
Phone (631) 444-5603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130430000108 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6002707593 Receives reassigned benefits from 1 practitioner
Practice locations: Setauket, NY

National Provider Directory

National Provider Directory

Locations

128 Old Town Rd
Ofc
East Setauket, NY 11733
Phone (631) 444-5603

175 Main St
Ste 4
Setauket, NY 11733
Phone (631) 444-5603

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1780870758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 OLD TOWN RD",
            "address_2": "SETAUKET OFFICE PARK(LOWER LEVEL)",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117332064",
            "telephone_number": "631-444-5603",
            "fax_number": "631-444-5604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 OLD TOWN RD",
            "address_2": "SETAUKET OFFICE PARK(LOWER LEVEL)",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117332064",
            "telephone_number": "631-444-5603",
            "fax_number": "631-444-5604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWERS PHYSIO-FIT PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-444-5603",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T.,M.S."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "008596-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Setauket, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; 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.