NPIMap

Organization Active NPI

Port Physical Therapy

  • Registered Dietitian
  • Port Washington, NY
National Provider Identifier
1942386792
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
000616 Issued in NY
Legal business name
PORT PHYSICAL THERAPY
Practice address
174 Main St
Port Washington, NY 11050-3212
Phone
(516) 944-0500
Fax
(516) 944-0501
NPI assigned
Oct 27, 2006
Last updated
Mar 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Authorized official

Name
Ms. Jennifer Gioino, R.D.
Title
Partner
Phone
(516) 944-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 000616 NY Primary

Addresses

Primary practice location

174 Main St
Port Washington, NY 11050-3212

Mailing address

174 Main St
Port Washington, NY 11050-3212
Phone (516) 944-0500

National Provider Directory

National Provider Directory

Locations

174 Main St
Prt Washingtn, NY 11050
Phone (516) 944-0500

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1942386792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 MAIN ST",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110503212",
            "telephone_number": "516-944-0500",
            "fax_number": "516-944-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 MAIN ST",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110503212",
            "telephone_number": "516-944-0500",
            "fax_number": "516-944-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "GIOINO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "516-944-0500",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.D."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "000616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Washington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.