Individual provider Active NPI

Steven M Pantell, PT

  • Physical Therapist
  • Glen Cove, NY
National Provider Identifier
1811904683
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
008818-0 Issued in NY
Practice address
4 Cedar Swamp Rd
Glen Cove, NY 11542-3749
Phone
(516) 671-6161
Fax
(516) 674-0396
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 008818-0 NY Primary

Addresses

Primary practice location

4 Cedar Swamp Rd
Glen Cove, NY 11542-3749

Mailing address

4 Cedar Swamp Rd
Glen Cove, NY 11542-3749
Phone (516) 671-6161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4 Cedar Swamp Rd
Glen Cove, NY 11542-3749

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
008818-0NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Island Sports Physiotherapy, PC PastSince Aug 23, 2001 Accepting new patients

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811904683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CEDAR SWAMP RD",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115423749",
            "telephone_number": "516-671-6161",
            "fax_number": "516-674-0396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CEDAR SWAMP RD",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115423749",
            "telephone_number": "516-671-6161",
            "fax_number": "516-674-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTELL",
        "first_name": "STEVEN",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "008818-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Cove, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.