Plaza Physical Therapy, P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

004337-1 Issued in NY

Legal business name

PLAZA PHYSICAL THERAPY, P.C.

Practice address

737 Wantagh Ave
Wantagh, NY 11793-2133

Phone

(516) 793-8490

Fax

(516) 796-8771

NPI assigned

Sep 16, 2008

Organization subpart

No

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

Authorized official

Name

Dorothy StackNPI 1679647572

Title

Physical Therpist

Phone

(516) 796-8490

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Dorothy Stack, PT

  • Physical Therapist
  • Wantagh, NY
  • NPI 1679647572
  NPD (past) Authorized official

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1902055825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 WANTAGH AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117932133",
            "telephone_number": "516-793-8490",
            "fax_number": "516-796-8771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 WANTAGH AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117932133",
            "telephone_number": "516-793-8490",
            "fax_number": "516-796-8771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-16",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "STACK",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "PHYSICAL THERPIST",
        "authorized_official_telephone_number": "516-796-8490"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "004337-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Wantagh, NY
• Providers in Wantagh, 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 Sep 16, 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.