Organization Active NPI

Precision Physical Therapy, LLC

  • Specialist
  • Syosset, NY
National Provider Identifier
1790964740
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PRECISION PHYSICAL THERAPY, LLC
Practice address
140 Eileen Way
Suite 700
Syosset, NY 11791
Phone
(516) 682-8560
Fax
(516) 682-8562
NPI assigned
Oct 26, 2007
Last updated
Nov 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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

Authorized official

Name
Hussain Alsullami, MSPTNPI 1821053232
Title
Owner
Phone
(516) 682-8560

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
Specialist 174400000X NU Primary

Addresses

Primary practice location

140 Eileen Way
Suite 700
Syosset, NY 11791

Mailing address

140 Eileen Way
Suite 700
Syosset, NY 11791
Phone (516) 682-8560

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110818000482 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4385535731 Receives reassigned benefits from 2 practitioners
Practice locations: Syosset, NY

National Provider Directory

National Provider Directory

Locations

140 Eileen Way
Ste 700
Syosset, NY 11791
Phone (516) 682-8560

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479254400000",
    "number": "1790964740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 EILEEN WAY",
            "address_2": "SUITE 700",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "11791",
            "telephone_number": "516-682-8560",
            "fax_number": "516-682-8562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 EILEEN WAY",
            "address_2": "SUITE 700",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "11791",
            "telephone_number": "516-682-8560",
            "fax_number": "516-682-8562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2016-11-16",
        "status": "A",
        "authorized_official_last_name": "ALSULLAMI",
        "authorized_official_first_name": "HUSSAIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-682-8560",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.