PPT Therapies of Western Suffolk, PT, OT, SLP, LLP

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

Legal business name

PPT THERAPIES OF WESTERN SUFFOLK, PT, OT, SLP, LLP

Practice address

77 Veterans Hwy
Suite 5
Commack, NY 11725-3410

Phone

(631) 499-4344

Fax

(631) 499-4383

NPI assigned

Dec 17, 2015

Organization subpart

No

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

Authorized official

Name

Kim Muolo

Title

Office Manager

Phone

(631) 499-4344

Specialties & licenses 3

Addresses

Tax ID family

PPT Therapies of Western Suffolk2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• PPT Therapies of Western Suffolk PT OT SLP LLP

  • Early Intervention Provider Agency
  • Commack, NY
  • NPI 1760746713
  NPD tax ID

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450310400000",
    "number": "1831554898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 VETERANS HWY",
            "address_2": "SUITE 5",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253410",
            "telephone_number": "631-499-4344",
            "fax_number": "631-499-4383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 VETERANS HWY",
            "address_2": "SUITE 5",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253410",
            "telephone_number": "631-499-4344",
            "fax_number": "631-499-4383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PPT THERAPIES OF WESTERN SUFFOLK, PT, OT, SLP, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-17",
        "last_updated": "2015-12-17",
        "status": "A",
        "authorized_official_last_name": "MUOLO",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "631-499-4344"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Charles Portanova, B.S.
• Dorothy Porter
• Positive Outcome Physical Therapy PC
• Sarah F. Powers, N.P.
• PPT Therapies of Western Suffolk PT OT SLP LLP
• Emily Precht
• Precision Chiropractic Diagnostics PC
• Preemptive Radiological Imaging, P.C.
• Premier Orthopedic Supply, Inc.
• R Chris Prentiss, PT,OCS,CERT.MDT,CSCS

• Pediatric Physical Therapist in Commack, NY
• Providers in Commack, NY by specialty
• Pediatric Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; 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.