Active NPI
Haidee Ganz-Bonhurst P.T., P.C.
- Physical Therapy Clinic/Center
- Smithtown, NY
National Provider Identifier
1821361478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 010927-1
- Legal business name
- HAIDEE GANZ-BONHURST P.T., P.C.
- Practice address
- 50 Route 111
Suite 103
Smithtown, NY 11787-3738 - Phone
- (631) 360-0723
- Fax
- (631) 360-2346
- NPI assigned
- Feb 13, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Haidee Ganz-Bonhurst, DPT
- Title
- Owner
- Phone
- (631) 360-0723
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 010927-1 | NY | Primary |
Addresses
Primary practice location
50 Route 111
Suite 103
Smithtown, NY 11787-3738
Mailing address
50 Route 111
Suite 103
Smithtown, NY 11787-3738
Phone (631) 360-0723
Other names 1
- Metropolitan Physical Therapy East
National Provider Directory
National Provider DirectoryLocations
50 Route 111
Ste 103
Smithtown, NY 11787
Phone (516) 360-0723
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Smithtown, NY
- NPI 1922058981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329091200000",
"number": "1821361478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 ROUTE 111",
"address_2": "SUITE 103",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117873738",
"telephone_number": "631-360-0723",
"fax_number": "631-360-2346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 ROUTE 111",
"address_2": "SUITE 103",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117873738",
"telephone_number": "631-360-0723",
"fax_number": "631-360-2346"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAIDEE GANZ-BONHURST P.T., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-13",
"last_updated": "2012-02-13",
"status": "A",
"authorized_official_last_name": "GANZ-BONHURST",
"authorized_official_first_name": "HAIDEE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "631-360-0723",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NY",
"license": "010927-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Metropolitan Physical Therapy East",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.