Complete Rehabilitation and Sports Physical Therapy, PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

022363 Issued in NY

Legal business name

COMPLETE REHABILITATION AND SPORTS PHYSICAL THERAPY, PC

Practice address

15 Hawkins Ave
Ronkonkoma, NY 11779-5832

Phone

(631) 585-5915

Fax

(631) 585-5916

NPI assigned

Sep 24, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Chad Ryan Smith, M.S.,P.T.NPI 1134130859

Title

Director Physical Therapist

Phone

(631) 585-5915

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations (25 of 34)

Practitioners 478

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.

• Chad Ryan Smith, PT

  • Physical Therapist
  • Blue Point, NY
  • NPI 1134130859
  Medicare reassignment NPD Authorized official
• Melissa Ann Crabtree, BCBA

  • Behavior Analyst
  • Lakewood, NY
  • NPI 1063922011
  NPD (past)
• Tarinah Joy Faircloth-Chin

  • Occupational Therapist
  • Newburgh, NY
  • NPI 1114521481
  NPD (past)
• Lauren Nicole Griffin, DPT

  • Physical Therapist
  • Orchard Park, NY
  • NPI 1306453444
  NPD (past)
• La'Eeqa Abdullah

  • Behavior Analyst
  • Chapel Hill, NC
  • NPI 1225802630
  NPD (past)
• Colleen Janelle Abrams, BCBA

  • Behavior Analyst
  • Statesville, NC
  • NPI 1407549454
  NPD (past)
• La'Sharae Abrams, BCBA

  • Behavior Analyst
  • Salisbury, NC
  • NPI 1396216305
  NPD (past)
• Rania Abushakra

  • Behavior Technician
  • Apex, NC
  • NPI 1750010963
  NPD (past)
• Debra Nicole Alessio

  • Occupational Therapy Assistant
  • High Point, NC
  • NPI 1831903244
  NPD (past)
• Kristen Leigh Alford, PT

  • Physical Therapist
  • Charlotte, NC
  • NPI 1013024124
  NPD (past)
• Fathima Ali

  • Physical Therapist
  • Mint Hill, NC
  • NPI 1477277440
  NPD (past)
• Zakia Nadira Allah, BCBA, LBA

  • Behavior Analyst
  • Winston Salem, NC
  • NPI 1740744929
  NPD (past)

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811097306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 HAWKINS AVE",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117795832",
            "telephone_number": "631-585-5915",
            "fax_number": "631-585-5916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 HAWKINS AVE",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117795832",
            "telephone_number": "631-585-5915",
            "fax_number": "631-585-5916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE REHABILITATION AND SPORTS PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "DIRECTOR PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "631-585-5915",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S.,P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Marion Cody
• Joan Elaine Colchamiro-Smart, M.S.
• Kaitlyn Coleman, LMHC
• Meghan Collins
• Community Counseling Services (Ruth M Meyer)
• Concerned Dental Care of Ronkonkoma, PLLC
• Connetquot Chiropractic (Ligament Laxity Analysis)
• Connetquot Chiropractic, PC
• Connetquot PT & Chiropractic PLLC (Connetquot PTDC)
• Yanique Constant I, RN

• Physical Therapist in Ronkonkoma, NY
• Providers in Ronkonkoma, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.