Active NPI
Brookhaven Physical Therapy
- Physical Therapy Clinic/Center
- Middle Island, NY
National Provider Identifier
1841406980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 011801-1
- Legal business name
- BROOKHAVEN PHYSICAL THERAPY
- Doing business as
- Miller Place Physical Therapy
- Practice address
- 200 Middle Country Rd
Middle Island, NY 11953-2520 - Phone
- (631) 345-2005
- Fax
- (631) 345-5007
- NPI assigned
- May 15, 2007
- 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
- Mr. Donald A McCrea, PT
- Title
- Owner
- Phone
- (631) 345-2005
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 011801-1 | NY | Primary |
Addresses
Primary practice location
200 Middle Country Rd
Middle Island, NY 11953-2520
Mailing address
41 Echo Ave
Miller Place, NY 11764-2108
Phone (631) 331-2348
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0210001 | Other | NY | HEALTHNET ORTHONET |
| 12067099 | Other | NY | MULTIPLAN |
| DM0Q03821 | Other | NY | BCBS |
| 6602110 | Other | NY | GHI |
| 813476 | Other | NY | MPN |
| A493957 | Other | NY | OXFORD |
| 20473P | Other | NY | HIP |
| AZ00671 | Other | NY | MDNY |
| 107487200 | Other | NY | ACS |
| 2176073 | Other | NY | FIRST HEALTH |
| 124896 | Other | NY | VYTRA |
| 1295268 | Other | NY | UNITED HEALTHCARE |
| 1C0216 | Other | NY | HEALTHNET |
Other names 1
- Miller Place Physical Therapy
National Provider Directory
National Provider DirectoryLocations
200 Middle Country Rd
Middle Island, NY 11953
Phone (631) 345-2005
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Miller Place, NY
- NPI 1215096730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213574400000",
"number": "1841406980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 ECHO AVE",
"city": "MILLER PLACE",
"state": "NY",
"postal_code": "117642108",
"telephone_number": "631-331-2348",
"fax_number": "631-928-7068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MIDDLE COUNTRY RD",
"city": "MIDDLE ISLAND",
"state": "NY",
"postal_code": "119532520",
"telephone_number": "631-345-2005",
"fax_number": "631-345-5007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROOKHAVEN PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-15",
"last_updated": "2008-06-16",
"status": "A",
"authorized_official_last_name": "MCCREA",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "631-345-2005",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NY",
"license": "011801-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET ORTHONET",
"identifier": "0210001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "12067099",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "DM0Q03821",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "6602110",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MPN",
"identifier": "813476",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "A493957",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "20473P",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDNY",
"identifier": "AZ00671",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACS",
"identifier": "107487200",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "2176073",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VYTRA",
"identifier": "124896",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1295268",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "1C0216",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Miller Place Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Middle Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.