Coby Scaccia PT, PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

013823-1 Issued in NY

Legal business name

COBY SCACCIA PT, PC

Practice address

58 Oceanview Dr
Mastic Beach, NY 11951-1522

Phone

(518) 858-2858

Fax

(631) 657-3858

NPI assigned

May 13, 2010

Last updated

Sep 7, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Coby Marie Scaccia, PT

Title

President

Phone

(518) 858-2858

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283817600000",
    "number": "1912225038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 OCEANVIEW DR",
            "city": "MASTIC BEACH",
            "state": "NY",
            "postal_code": "119511522",
            "telephone_number": "518-858-2858",
            "fax_number": "631-657-3858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 OCEANVIEW DR",
            "city": "MASTIC BEACH",
            "state": "NY",
            "postal_code": "119511522",
            "telephone_number": "518-858-2858",
            "fax_number": "631-657-3858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COBY SCACCIA PT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-13",
        "last_updated": "2010-09-07",
        "status": "A",
        "authorized_official_last_name": "SCACCIA",
        "authorized_official_first_name": "COBY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-858-2858",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "013823-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Mastic Beach, NY
• Providers in Mastic Beach, 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 7, 2010; 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.