Organization Active NPI

Trident Physical Therapy

  • Physical Therapy Clinic/Center
  • Rockville Centre, NY
National Provider Identifier
1861183675
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
TRIDENT PHYSICAL THERAPY
Practice address
298 Sunrise Hwy
Rockville Centre, NY 11570-4906
Phone
(631) 846-0269
NPI assigned
May 15, 2023
Last updated
May 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Authorized official

Name
Matthew James Barle, PT, DPTNPI 1780164293
Title
Owner/Physical Therapist
Phone
(631) 846-0269

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)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

298 Sunrise Hwy
Rockville Centre, NY 11570-4906

Mailing address

1 Curlew PL
Massapequa, NY 11758-8434
Phone (516) 581-4873

National Provider Directory

National Provider Directory

Locations

298 Sunrise Hwy
Rockville Centre, NY 11570
Phone (516) 581-4873

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1861183675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CURLEW PL",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117588434",
            "telephone_number": "516-581-4873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 SUNRISE HWY",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704906",
            "telephone_number": "631-846-0269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIDENT PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "BARLE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "631-846-0269",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.