Island Regional Physical Therapy PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ISLAND REGIONAL PHYSICAL THERAPY PLLC

Practice address

1766 Sunrise Hwy
Bay Shore, NY 11706-6042

Phone

(631) 666-4600

Fax

(631) 666-4605

NPI assigned

Mar 29, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Alex Bendanillo, RPT

Title

Owner

Phone

(631) 666-4600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1922323351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1766 SUNRISE HWY",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117066042",
            "telephone_number": "631-666-4600",
            "fax_number": "631-666-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1766 SUNRISE HWY",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117066042",
            "telephone_number": "631-666-4600",
            "fax_number": "631-666-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND REGIONAL PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-29",
        "last_updated": "2010-03-29",
        "status": "A",
        "authorized_official_last_name": "BENDANILLO",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-666-4600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tochi Iroku-Malize, MD
• Miriam Isaacs, RN
• Shon Anthony Isaacs Jr.
• Island Heart Associates, LLP
• Island Nephrology Consultants, P.C.
• Island Shore Physical Therapy LLP
• Island Surgical & Vascular Group, P.C.
• Island Wide Ambulette Services Inc (Health Beat Ambulance)
• Islandmed Inc.
• Islandwide Medical PLLC

• Physical Therapist in Bay Shore, NY
• Providers in Bay Shore, 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 Mar 29, 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.