Island Shore Physical Therapy LLP

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0082291 Issued in NY

Legal business name

ISLAND SHORE PHYSICAL THERAPY LLP

Practice address

375 E Main St
Bay Shore, NY 11706-8418

Phone

(631) 277-9283

Fax

(631) 277-9394

NPI assigned

Mar 27, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Megan McKiernan

Title

Office Manager

Phone

(631) 277-9283

Specialties & licenses 2

Addresses

Tax ID family

Nicole Gick4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Island Shore Physical Therapy LLP

  • Orthopedic Physical Therapist
  • East Islip, NY
  • NPI 1265190425
  NPD tax ID
• Island Shore Physical Therapy, LLP

  • Physical Therapy Clinic/Center
  • East Islip, NY
  • NPI 1295911071
  NPD tax ID
• Island Shore Physical Therapy, LLP

  • Physical Therapist
  • East Islip, NY
  • NPI 1831306588
  NPD tax ID

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1962745091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 E MAIN ST",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302633",
            "telephone_number": "631-277-9283",
            "fax_number": "631-277-9394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 E MAIN ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068418",
            "telephone_number": "631-277-9283",
            "fax_number": "631-277-9394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND SHORE PHYSICAL THERAPY LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-27",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "MCKIERNAN",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "631-277-9283",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "18070",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "0082291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miriam Isaacs, RN
• Shon Anthony Isaacs Jr.
• Island Heart Associates, LLP
• Island Nephrology Consultants, P.C.
• Island Regional Physical Therapy PLLC
• Island Surgical & Vascular Group, P.C.
• Island Wide Ambulette Services Inc
• Islandmed Inc.
• Islandwide Medical PLLC
• Brandon Isolano, PA

• Occupational Therapist in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; 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.