Pegasus Physical Therapy, P.C.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

14649 Issued in NY

Legal business name

PEGASUS PHYSICAL THERAPY, P.C.

Practice address

152 Veterans Memorial Hwy
Commack, NY 11725-3634

Phone

(631) 543-1614

Fax

(631) 543-1615

NPI assigned

Oct 12, 2011

Last updated

Oct 12, 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

Mr. Scott IrwinNPI 1053515312

Title

President

Phone

(631) 543-1614

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Scott Irwin, P.T.

  • Physical Therapist
  • Commack, NY
  • NPI 1053515312
  Authorized official Same address or phone

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318377600000",
    "number": "1952686875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 VETERANS MEMORIAL HWY",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253634",
            "telephone_number": "631-543-1614",
            "fax_number": "631-543-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 VETERANS MEMORIAL HWY",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253634",
            "telephone_number": "631-543-1614",
            "fax_number": "631-543-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEGASUS PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-12",
        "last_updated": "2011-10-12",
        "status": "A",
        "authorized_official_last_name": "IRWIN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-543-1614",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "14649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariah T Pearson
• Christine Pedersen
• Pediatric Dentistry of Suffolk County
• Pediatric Physical Therapy Associates of Western Suffolk, P.C.
• Pediatric Pulmonary Medicine PC
• Digna Maricela Pena-Hollwedel, MS
• Alexandra Marte Penalver
• Miriam Lee Pennise, NP
• Jennifer Perciavalle, LCSW, CASAC-G
• Eleanor Frankel Perlman, LCSW, DCSW, BCD

• Physical Therapy Clinic/Center in Commack, NY
• Providers in Commack, 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 Oct 12, 2011; 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.