Infinity Physical Therapy Service P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

017632-1 Issued in NY

Legal business name

INFINITY PHYSICAL THERAPY SERVICE P.C.

Practice address

152 Islip Ave
Ste. 15
Islip, NY 11751-3225

Phone

(631) 277-6767

Fax

(631) 277-4311

NPI assigned

Dec 17, 2008

Organization subpart

No

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

Authorized official

Name

Glenn Harris Segal, PT

Title

President

Phone

(631) 277-6767

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1891931168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 ISLIP AVE",
            "address_2": "STE. 15",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513225",
            "telephone_number": "631-277-6767",
            "fax_number": "631-277-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 ISLIP AVE",
            "address_2": "STE. 15",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513225",
            "telephone_number": "631-277-6767",
            "fax_number": "631-277-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY PHYSICAL THERAPY SERVICE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-17",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "SEGAL",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "HARRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-277-6767",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "017632-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Islip, NY
• Providers in Islip, NY by specialty
• Physical Therapist in New York

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

Verify at the official NPI Registry.