Organization Active NPI

SL Physical Therapy PC

  • Physical Therapist
  • Plainview, NY
National Provider Identifier
1891100699
Registry record updated Jul 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
029590 Issued in NY
Legal business name
SL PHYSICAL THERAPY PC
Practice address
140 Northern Pkwy W
Plainview, NY 11803-1933
Phone
(516) 557-9564
NPI assigned
Jul 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2014

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

Authorized official

Name
Dr. Scott Evan Liptzin, DPTNPI 1518114073
Title
President
Phone
(516) 557-9564

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 029590 NY Primary

Addresses

Primary practice location

140 Northern Pkwy W
Plainview, NY 11803-1933

Mailing address

140 Northern Pkwy W
Plainview, NY 11803-1933
Phone (516) 557-9564

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180912001700 NY Part B Supplier - Clinic/Group Practice 9234489279 Receives reassigned benefits from 2 practitioners
Practice locations: Hicksville, NY

National Provider Directory

National Provider Directory

Locations

35 Bay Ave
Hicksville, NY 11801
Phone (516) 557-9564

2 Heitz Pl
Ste 100
Hicksville, NY 11801

2 Heitz Pl
Ste 207
Hicksville, NY 11801
Phone (516) 557-9564

Practitioners & affiliated clinicians

Practitioners 2

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": "1404172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404172800000",
    "number": "1891100699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 NORTHERN PKWY W",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031933",
            "telephone_number": "516-557-9564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 NORTHERN PKWY W",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031933",
            "telephone_number": "516-557-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SL PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-01",
        "last_updated": "2014-07-01",
        "status": "A",
        "authorized_official_last_name": "LIPTZIN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "EVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-557-9564",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; 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.