Complete Rehabilitation and Sports Physical Therapy, PC
Organization Active NPI Physical Therapist · Ronkonkoma, NY
NPI 1811097306 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1811097306
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- License
- 022363 (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
- Organization subpart
- No
Authorized official
- Name
- Mr. Chad Ryan Smith, M.S.,P.T.
- Title
- Director Physical Therapist
- Phone
- (631) 585-5915
Practitioners 470
-
Chad Ryan Smith, PT
-
Melissa Ann Crabtree, BCBA
-
Colleen Janelle Abrams, BCBA
-
La'Sharae Abrams, BCBA
-
Zakia Nadira Allah, BCBA, LBA
-
Alka Patel Amorose, DPT
-
Carla Jean Anderson, MS, BCBA
-
Madalyn Anderson, BCBA
-
Richard Paul Angus, M.S. BCBA, LABA
-
Ann Armstrong, PT, DPT
-
Matthew David Armstrong, MSPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070412000013 | NY | Part B Supplier - Clinic/Group Practice | 2466557996 |
Receives reassigned benefits from 1 practitioner Practice locations: Blue Point, NY |
National Provider Directory
Locations (25 of 41)
1701 Center St
Apex, NC 27502
Phone (984) 246-9080
710 E Catawba St
Belmont, NC 28012
Phone (704) 954-8959
606 E Davis St
Burlington, NC 27215
Phone (336) 513-8550
300 Market St
Ste 200
Chapel Hill, NC 27516
Phone (984) 528-8787
300 Market St
Ste 110
Chapel Hill, NC 27516
Phone (984) 528-8787
125 Baldwin Ave
Charlotte, NC 28204
Phone (980) 423-1210
8814 Rachel Freeman Way
Ste 101
Charlotte, NC 28278
231 Mt Holly Huntersville Rd
Charlotte, NC 28214
8326 Pineville Matthews Rd
Charlotte, NC 28226
8814 Rachel Freeman Way
Ste 103
Charlotte, NC 28278
Phone (704) 295-4121
9401 Arrowpoint Blvd
Ste 100
Charlotte, NC 28273
8326 Pineville Matthews Rd
Ste 404
Charlotte, NC 28226
Phone (704) 751-0532
8700 Pineville Matthews Rd
Ste 504
Charlotte, NC 28226
703 N US 29 Hwy
China Grove, NC 28023
Phone (704) 859-5040
8440 Pit Stop Ct NW
Concord, NC 28027
Phone (704) 651-5673
8440 Pit Stop Ct NW
Ste 140
Concord, NC 28027
Phone (704) 960-1729
4400 Ben Franklin Blvd
Durham, NC 27704
Phone (336) 513-8550
2675 Court Dr
Ste B
Gastonia, NC 28054
Phone (704) 824-4999
3719 Union Rd
Gastonia, NC 28056
Phone (704) 830-2136
823 N Elm St
Greensboro, NC 27401
Phone (336) 690-7119
16 2nd St NW
Hickory, NC 28601
Phone (828) 358-0976
1899 Tate Blvd SE
Ste 2106
Hickory, NC 28602
Phone (828) 322-9105
1114 Eastchester Dr
High Point, NC 27265
Phone (336) 802-1007
13024 Eastfield Rd
Ste 600
Huntersville, NC 28078
16409 Northcross Dr
Huntersville, NC 28078
Phone (980) 441-8200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | 022363 | NY | Yes |
Addresses
Primary practice location
15 Hawkins Ave
Ronkonkoma, NY 11779-5832
Mailing address
15 Hawkins Ave
Ronkonkoma, NY 11779-5832
Phone (631) 585-5915
Other providers in Ronkonkoma, NY
- Amanda Marion Cody
- Joan Elaine Colchamiro-Smart
- Kaitlyn Coleman
- Meghan Collins
- Community Counseling Services
- Concerned Dental Care of Ronkonkoma, PLLC
- Connetquot Chiropractic
- Connetquot Chiropractic, PC
- Connetquot PT & Chiropractic PLLC
- Yanique Constant I
All providers in Ronkonkoma, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.