Max S Oscar, PT

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

042456 Issued in NY

Practice address

167 Main St
Southampton, NY 11968-4823

Phone

(631) 283-4190

NPI assigned

Nov 9, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

State University of New York at Stony Brook, School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mojo PT and Pilates PLLCGroup PAC ID 4587185905, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mojo PT & Pilates PLLC

  • Physical Therapist
  • Essex Junction, VT
  • NPI 1467276816
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510185600000",
    "number": "1902319130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 ACKERTOWN RD",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109525101",
            "telephone_number": "845-263-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 MAIN ST",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119684823",
            "telephone_number": "631-283-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSCAR",
        "first_name": "MAX",
        "middle_name": "S",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-09",
        "last_updated": "2017-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "042456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet M Ogrady, MS RD CDN CDE
• Audry M Olthoff, FNP
• Grace M Omalley Dickinson, MD
• Naomi E Onyibe, PHARMD
• Orthopedic Assoc of Long Island Physicians & Medical Group PLLC
• Allen Ott, M.D.
• Jeffrey Stewart Ott, DDS
• Out East Occupational Therapy
• Sang I Pak, MD
• Natalie Rae Palumbo, RD

• Physical Therapy Clinic/Center in Southampton, NY
• Providers in Southampton, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.