Huntington Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

21149 Issued in NY

Legal business name

HUNTINGTON PHYSICAL THERAPY

Practice address

141 E Main St
Huntington, NY 11743-2852

Phone

(631) 421-9111

Fax

(631) 422-3723

NPI assigned

May 16, 2007

Last updated

May 2, 2008By 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

Matthew Baldwin Deegan, PTNPI 1659462281

Title

Pres

Phone

(631) 421-9111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 4

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.

• Matthew Baldwin Deegan, PT

  • Physical Therapist
  • Huntington, NY
  • NPI 1659462281
  Medicare reassignment NPD Authorized official
• Tara Kimball-Tucker

  • Physical Therapist
  • Huntington, NY
  • NPI 1306059340
  NPD (past)
• Susan Sullivan, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Huntington, NY
  • NPI 1942269584
  NPD (past)
• Ward Tucker III

  • Physical Therapist
  • Huntington, NY
  • NPI 1033321039
  NPD (past)

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1962619395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 E MAIN ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432852",
            "telephone_number": "631-421-9111",
            "fax_number": "631-422-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 E MAIN ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432852",
            "telephone_number": "631-421-9111",
            "fax_number": "631-422-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTINGTON PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "DEEGAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "BALDWIN",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "631-421-9111",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "21149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Huntington Hospital Nuclear Medicine Department
• Huntington Hospital Pathology Department
• Huntington Hospitalists
• Huntington Medical Associates PLLC
• Huntington Oral & Maxillofacial Surgery
• Huntington Pulmonary PC
• Huntington Registered Nursing Services
• Huntington RX Pharmacy Inc (RX Express Pharmacy of E Northport)
• Huntington Youth Bureau Youth Development Research Insitute, Inc. (Town of Huntington Drug and Alcohol Counseling Ctr.)
• Joanna Hurley, PHD

• Physical Therapist in Huntington, NY
• Providers in Huntington, 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 May 2, 2008; 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.