NPIMap

Organization Active NPI

Positive Outcome Physical Therapy PC

  • Early Intervention Provider Agency
  • Commack, NY
National Provider Identifier
1780983650
Registry record updated Mar 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
PHYSTHERAPY-004015 Issued in NY
Legal business name
POSITIVE OUTCOME PHYSICAL THERAPY PC
Practice address
137 Harned Rd
Commack, NY 11725-4203
Phone
(631) 543-6765
Fax
(631) 543-0612
NPI assigned
Mar 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2011

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

Authorized official

Name
Mrs. Myriam C. Moore, MSPT/ CIMI /OSC
Title
President / Director
Phone
(631) 543-6765

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X
Early Intervention Provider Agency 252Y00000X PHYSTHERAPY-004015 NY Primary
Early Intervention Provider Agency 252Y00000X OCCUPATIONAL THERAPY
Early Intervention Provider Agency 252Y00000X SPEECH THERAPY

Addresses

Primary practice location

137 Harned Rd
Commack, NY 11725-4203

Mailing address

137 Harned Rd
Commack, NY 11725-4203
Phone (631) 543-6765

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1300320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300320000000",
    "number": "1780983650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 HARNED RD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254203",
            "telephone_number": "631-543-6765",
            "fax_number": "631-543-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 HARNED RD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254203",
            "telephone_number": "631-543-6765",
            "fax_number": "631-543-0612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE OUTCOME PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-17",
        "last_updated": "2011-03-17",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MYRIAM",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT / DIRECTOR",
        "authorized_official_telephone_number": "631-543-6765",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSPT/ CIMI /OSC"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "PHYSTHERAPY-004015",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": "OCCUPATIONAL THERAPY",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": "SPEECH THERAPY",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 17, 2011; 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.