Central Valley Stream Physical Therapy PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

CENTRAL VALLEY STREAM PHYSICAL THERAPY PLLC

Practice address

20 W Lincoln Ave
Valley Stream, NY 11580-5730

Phone

(516) 825-1112

Fax

(516) 256-0503

NPI assigned

Oct 17, 2012

Organization subpart

No

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

Authorized official

Name

Evan Greene, MSPTNPI 1700853868

Title

President

Phone

(516) 825-1112

Specialties & licenses 2

Addresses

Other names 1

• New York Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 4

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

• Evan Greene, MSPT

  • Physical Therapist
  • Valley Stream, NY
  • NPI 1700853868
  Medicare reassignment Care Compare group NPD Authorized official
• Christina Diana Pugliese, PT, DPT

  • Physical Therapist
  • Valley Stream, NY
  • NPI 1295332344
  Medicare reassignment Care Compare group NPD
• Alex Thakor, PT

  • Physical Therapist
  • Valley Stream, NY
  • NPI 1730991738
  NPD
• Aliya Sayyed

  • Physical Therapist
  • New York, NY
  • NPI 1740019496
  NPD (past)

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717891200000",
    "number": "1831442797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W LINCOLN AVE STE 205",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805731",
            "telephone_number": "516-825-1112",
            "fax_number": "516-256-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W LINCOLN AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805730",
            "telephone_number": "516-825-1112",
            "fax_number": "516-256-0503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL VALLEY STREAM PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-17",
        "last_updated": "2024-06-09",
        "certification_date": "2024-06-09",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-825-1112",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New York Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cassandra Cean
• Katia Celifie-Aime, M.S.ED
• James Robert Cella, DDS
• Celso C Cueto PT, Inc
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• Centurion Brooklyn Anesthesia PLLC
• Centurion Palm Beach LLC
• Lisette Cepeda, LMSW
• Eileen Bath Cepelewicz-Harbater, PSY.D.

• Physical Therapist in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2024; 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.