Physical Therapy Rehab Plus, P.C.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

032930-1 Issued in NY

Legal business name

PHYSICAL THERAPY REHAB PLUS, P.C.

Practice address

1970 Route 112
Suite 6
Coram, NY 11727-2300

Phone

(631) 476-4600

Fax

(631) 476-8236

NPI assigned

Jul 5, 2011

Last updated

Jul 5, 2011By 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

Dennis Patrick Sall, DPTNPI 1891708301

Title

President

Phone

(631) 476-4600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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.

• Dennis Patrick Sall, DPT, DC

  • Physical Therapist
  • Holbrook, NY
  • NPI 1891708301
  Medicare reassignment Authorized official
• Juliet L Steele, P.T.

  • Physical Therapist
  • Smithtown, NY
  • NPI 1366511776
  Medicare reassignment NPD

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309824000000",
    "number": "1912294430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1970 ROUTE 112",
            "address_2": "SUITE 6",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117272300",
            "telephone_number": "631-476-4600",
            "fax_number": "631-476-8236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 ROUTE 112",
            "address_2": "SUITE 6",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117272300",
            "telephone_number": "631-476-4600",
            "fax_number": "631-476-8236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY REHAB PLUS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-05",
        "last_updated": "2011-07-05",
        "status": "A",
        "authorized_official_last_name": "SALL",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-476-4600",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "032930-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eloise Verona Perkins, R.N.
• Paula A Pesce, MASSAGE THERAPIST
• Mary Lorraine Petersen, LCSW
• Nicole Ashley Petillo, BCBA, LBA
• James Cutreal Phillips, DPT
• Lee Ann Piccola-Voight, LCSWR
• Michele Piediscalzo
• James Kevin Pierre-Glaude, DPT,ATC,CSCS
• Bonnie C Pina, LPN
• Christine Pittarese, RN

• Physical Therapy Clinic/Center in Coram, NY
• Providers in Coram, 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 Jul 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.