Organization Active NPI

Babylon Physical Therapy PLLC

  • Physical Therapist
  • West Babylon, NY
National Provider Identifier
1851462535
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
019531 Issued in NY
Legal business name
BABYLON PHYSICAL THERAPY PLLC
Practice address
576 E Sunrise Highway
West Babylon, NY 11704
Phone
(631) 376-0318
Fax
(631) 376-0319
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Authorized official

Name
Mr. Jeffrey D Chichester, PT PHYSICAL THERAPYNPI 1538330808
Title
Physical Therapist Owner
Phone
(631) 376-0318

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 019531 NY Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 000402 NY

Addresses

Primary practice location

576 E Sunrise Highway
West Babylon, NY 11704

Mailing address

576 E Sunrise Highway
West Babylon, NY 11704
Phone (631) 376-0318

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050322001169 NY Part B Supplier - Clinic/Group Practice 8426004573 Receives reassigned benefits from 5 practitioners
Practice locations: West Babylon, NY

National Provider Directory

National Provider Directory

Locations

229 Railroad Ave
Sayville, NY 11782
Phone (631) 563-1050

229 Railroad Ave
Ste 2
Sayville, NY 11782
Phone (631) 589-7088

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1851462535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 E SUNRISE HIGHWAY",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "11704",
            "telephone_number": "631-376-0318",
            "fax_number": "631-376-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 E SUNRISE HIGHWAY",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "11704",
            "telephone_number": "631-376-0318",
            "fax_number": "631-376-0319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BABYLON PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "CHICHESTER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST OWNER",
        "authorized_official_telephone_number": "631-376-0318",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT PHYSICAL THERAPY"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "019531",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "000402",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.