Organization Active NPI

Perform Physical Therapy and Pilates PLLC

  • Physical Therapy Clinic/Center
  • Lido Beach, NY
National Provider Identifier
1922159359
Registry record updated Jun 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
013055 Issued in NY
Legal business name
PERFORM PHYSICAL THERAPY AND PILATES PLLC
Practice address
141 Lido Blvd
Lido Beach, NY 11561-4833
Phone
(516) 220-4177
Fax
(516) 992-2282
NPI assigned
Jan 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2008

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

Authorized official

Name
Dr. Melinda Stoski, PT, DPT,MS,OCS,CPI
Title
Owner
Phone
(516) 220-4177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 013055 NY Primary

Addresses

Primary practice location

141 Lido Blvd
Lido Beach, NY 11561-4833

Mailing address

141 Lido Blvd
Lido Beach, NY 11561-4833
Phone (516) 220-4177

Other identifiers 11

IdentifierTypeStateIssuer
803355OtherNYMPN
1495973OtherNYCIGNA PROV #
Q35E42OtherNYBCBS PROV #
0024301OtherORTHONET
11303OtherNYMAGNACARE PROV #
1174577217OtherNYINDIVIDUAL NPI
0123036OtherNYGHI PROV #
6C5374OtherNYHEALTHNET
133998OtherNYVYTRA PROV #
107959POtherNYHIP PROV #
2607498OtherNYUHC

National Provider Directory

National Provider Directory

Locations

2421 Long Beach Rd
#202
Oceanside, NY 11572
Phone (516) 992-2282

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1168732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213401600000",
    "number": "1922159359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 LIDO BLVD",
            "city": "LIDO BEACH",
            "state": "NY",
            "postal_code": "115614833",
            "telephone_number": "516-220-4177",
            "fax_number": "516-992-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 LIDO BLVD",
            "city": "LIDO BEACH",
            "state": "NY",
            "postal_code": "115614833",
            "telephone_number": "516-220-4177",
            "fax_number": "516-992-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORM PHYSICAL THERAPY AND PILATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-14",
        "last_updated": "2008-06-14",
        "status": "A",
        "authorized_official_last_name": "STOSKI",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-220-4177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT,MS,OCS,CPI"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "013055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MPN",
            "identifier": "803355",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROV #",
            "identifier": "1495973",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROV #",
            "identifier": "Q35E42",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORTHONET",
            "identifier": "0024301",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGNACARE PROV #",
            "identifier": "11303",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1174577217",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PROV #",
            "identifier": "0123036",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "6C5374",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA PROV #",
            "identifier": "133998",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP PROV #",
            "identifier": "107959P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "2607498",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lido Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.