NPIMap

Organization Active NPI

On-Site Physical & Occupational Therapy, PLLC

  • Physical Therapist
  • Woodmere, NY
National Provider Identifier
1932521622
Registry record updated Jun 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
034462 Issued in NY
Legal business name
ON-SITE PHYSICAL & OCCUPATIONAL THERAPY, PLLC
Practice address
120 Park St
Woodmere, NY 11598-2624
Phone
(516) 500-1750
Fax
(516) 387-1188
NPI assigned
Jan 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2015

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

Authorized official

Name
Dr. Justin Hirmes, DPTNPI 1053688960
Title
Owner
Phone
(516) 500-1750

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 034462 NY Primary
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X 018603 NY

Addresses

Primary practice location

120 Park St
Woodmere, NY 11598-2624

Mailing address

120 Park St
Woodmere, NY 11598-2624
Phone (516) 500-1750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140908001634 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9931328838 Receives reassigned benefits from 18 practitioners
Practice locations: Atlantic Beach, NY; Far Rockaway, NY; Merrick, NY; Woodmere, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433116800000",
    "number": "1932521622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 PARK ST",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115982624",
            "telephone_number": "516-500-1750",
            "fax_number": "516-387-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 PARK ST",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115982624",
            "telephone_number": "516-500-1750",
            "fax_number": "516-387-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON-SITE PHYSICAL & OCCUPATIONAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-14",
        "last_updated": "2015-06-01",
        "status": "A",
        "authorized_official_last_name": "HIRMES",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-500-1750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "034462",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "018603",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodmere, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; 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.