Active NPI
Livewell Rehab and Wellness PT, PC
- Physical Therapist
- Glen Cove, NY
National Provider Identifier
1912058025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 024591
- Legal business name
- LIVEWELL REHAB AND WELLNESS PT, PC
- Practice address
- 7 Bryant Rd
Glen Cove, NY 11542-4003 - Phone
- (516) 458-5285
- NPI assigned
- Jan 15, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian Oliver Farrell, PT
- Title
- President
- Phone
- (516) 458-5285
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 024591 | NY | Primary |
Addresses
Primary practice location
7 Bryant Rd
Glen Cove, NY 11542-4003
Mailing address
7 Bryant Rd
Glen Cove, NY 11542-4003
Phone (516) 458-5285
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Glen Cove, NY
- NPI 1932250040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1912058025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 BRYANT RD",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115424003",
"telephone_number": "516-458-5285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 BRYANT RD",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115424003",
"telephone_number": "516-458-5285"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVEWELL REHAB AND WELLNESS PT, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FARRELL",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "OLIVER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "516-458-5285",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "024591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Cove, 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.