Organization Active NPI

Lakeville Physical Therapy PC

  • Physical Therapist
  • Plainview, NY
National Provider Identifier
1821640988
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
LAKEVILLE PHYSICAL THERAPY PC
Practice address
8 Lakeville LN
Plainview, NY 11803-3739
Phone
(347) 217-8831
NPI assigned
Jul 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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

Authorized official

Name
Maged Guindy, PT
Title
Physical Therapist/Owner
Phone
(347) 217-8831

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

8 Lakeville LN
Plainview, NY 11803-3739

Mailing address

8 Lakeville LN
Plainview, NY 11803-3739
Phone (347) 217-8831

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200109000277 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5193150746 Practice locations: Plainview, NY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570406400000",
    "number": "1821640988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 LAKEVILLE LN",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118033739",
            "telephone_number": "347-217-8831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 LAKEVILLE LN",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118033739",
            "telephone_number": "347-217-8831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVILLE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-09",
        "last_updated": "2019-10-07",
        "status": "A",
        "authorized_official_last_name": "GUINDY",
        "authorized_official_first_name": "MAGED",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "347-217-8831",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.