Active NPI
Lakeville Physical Therapy PC
- Physical Therapist
- Plainview, NY
National Provider Identifier
1821640988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200109000277 | NY | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 5193150746 | Practice locations: Plainview, NY |
National Provider Directory
National Provider DirectoryNPI 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.