Organization Active NPI

Thera-Max Physical Therapy Services, P.C.

  • Early Intervention Provider Agency
  • East Meadow, NY
National Provider Identifier
1821378159
Registry record updated Aug 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
010524 Issued in NY
Legal business name
THERA-MAX PHYSICAL THERAPY SERVICES, P.C.
Practice address
91 Avis Dr
East Meadow, NY 11554-1401
Phone
(516) 579-0923
NPI assigned
Aug 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2011

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

Authorized official

Name
Carmel Mendoza, PT
Title
President
Phone
(516) 579-0923

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 010524 NY Primary

Addresses

Primary practice location

91 Avis Dr
East Meadow, NY 11554-1401

Mailing address

91 Avis Dr
East Meadow, NY 11554-1401
Phone (516) 579-0923

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313539200000",
    "number": "1821378159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 AVIS DR",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541401",
            "telephone_number": "516-579-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 AVIS DR",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541401",
            "telephone_number": "516-579-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERA-MAX PHYSICAL THERAPY SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-17",
        "last_updated": "2011-08-17",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "CARMEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-579-0923",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "010524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Meadow, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.