Organization Active NPI

Senior'S Alternative Physical Therapy PC

  • Physical Therapist
  • Long Beach, NY
National Provider Identifier
1891766135
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
015342-1 Issued in NY
Legal business name
SENIOR'S ALTERNATIVE PHYSICAL THERAPY PC
Practice address
120 W Park Ave
(Suite 104)
Long Beach, NY 11561-3301
Phone
(516) 889-5719
Fax
(516) 889-3495
NPI assigned
Jan 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jim W Roarty, P.T.NPI 1235317926
Title
Owner/Physical Therapist
Phone
(516) 889-5719

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 MULTIPLE SINGLE SPECIALTY GROUP 225100000X 015342-1 NY Primary

Addresses

Primary practice location

120 W Park Ave
(Suite 104)
Long Beach, NY 11561-3301

Mailing address

120 W Park Ave
(Suite 104)
Long Beach, NY 11561-3301
Phone (516) 889-5719

National Provider Directory

National Provider Directory

Locations

120 W Park Ave
Ste 104
Long Beach, NY 11561
Phone (516) 889-5719

240 W Park Ave
Long Beach, NY 11561
Phone (516) 889-5719

Practitioners & affiliated clinicians

Practitioners 1

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": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891766135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W PARK AVE",
            "address_2": "(SUITE 104)",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613301",
            "telephone_number": "516-889-5719",
            "fax_number": "516-889-3495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W PARK AVE",
            "address_2": "(SUITE 104)",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613301",
            "telephone_number": "516-889-5719",
            "fax_number": "516-889-3495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR'S ALTERNATIVE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROARTY",
        "authorized_official_first_name": "JIM",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "516-889-5719",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "015342-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.