Lindenhurst PT & Pta PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

029487-1 Issued in NY

Legal business name

LINDENHURST PT & PTA PLLC

Doing business as

Lindenhurst Physical Therapy

Practice address

1061 N Broadway
N Massapequa, NY 11758-1853

Phone

(516) 454-6387

Fax

(516) 454-6303

NPI assigned

Apr 23, 2009

Organization subpart

Yes

Parent organization

METRO COMPRENHENSIVE PHYSICAL & AQUATIC THERAPYAs reported in NPPES

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

Authorized official

Name

John F Douglas, PTANPI 1467690206

Title

Owner

Phone

(516) 454-6387

Specialties & licenses 1

Addresses

Other names 1

• Lindenhurst Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Part of

Sherrie Glasser Physical Therapy John Douglas Physical Therapy

Locations

Practitioners 2

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.

• Robert Pesci, DPT

  • Specialist
  • Massapequa, NY
  • NPI 1093905531
  Medicare reassignment NPD
• John F Douglas, PTA

  • Physical Therapy Assistant
  • N Massapequa, NY
  • NPI 1467690206
  Authorized official Same address or phone

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240444800000",
    "number": "1972747707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 N WELLWOOD AVE",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117573707",
            "telephone_number": "631-957-7300",
            "fax_number": "631-957-7024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 N BROADWAY",
            "city": "N MASSAPEQUA",
            "state": "NY",
            "postal_code": "117581853",
            "telephone_number": "516-454-6387",
            "fax_number": "516-454-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDENHURST PT & PTA PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "METRO COMPRENHENSIVE PHYSICAL & AQUATIC THERAPY",
        "enumeration_date": "2009-04-23",
        "last_updated": "2009-04-23",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-454-6387",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029487-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lindenhurst Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jolanta Kwiecinska, DPT
• Charles Joseph Lamberta, DDS
• Catherine Louise Lane, LMT
• Laura Haas LCSW & Associates
• Marylou Lawson
• Donna Loschiavo
• Melissa Marie Lyons, M.S.,P.T.
• Laurence F Mack, MD
• Theresa Mackey
• Donna Lynne Macpherson, MA, CCC-SLP

• Physical Therapist in N Massapequa, NY
• Providers in N Massapequa, 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 Apr 23, 2009; 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.