Organization Active NPI

Therapeutic Excellence Physical Therapy PC

  • Physical Therapist
  • Manhasset, NY
National Provider Identifier
1982809547
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5505 Issued in NY
Legal business name
THERAPEUTIC EXCELLENCE PHYSICAL THERAPY PC
Practice address
1350 Northern Blvd
Suite C
Manhasset, NY 11030-3004
Phone
(516) 365-2929
NPI assigned
Jun 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Authorized official

Name
Dennis Kinneary
Title
President
Phone
(516) 365-2929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 5505 NY Primary

Addresses

Primary practice location

1350 Northern Blvd
Suite C
Manhasset, NY 11030-3004

Mailing address

1350 Northern Blvd
Suite C
Manhasset, NY 11030-3004
Phone (516) 365-2929

Other identifiers 11

IdentifierTypeStateIssuer
AZ00867OtherNYMDNY
080005505NY02OtherNYANTHEM
2114203OtherNYAETNA US HEALTHCARE
0061101OtherNYHEALTHNET ORTHONET
66496OtherPABLUE SHIELD PA
Q45771OtherNYBLUE SHIELD
169333POtherNYHIP
02008401OtherNYAETNA ORTHONET
5C7199OtherNYHEALTHNET
P1536005OtherNYOXFORD
Q45771OtherNYBLUE SHIELD ORTHONET

National Provider Directory

National Provider Directory

Locations

45 Channel Dr
Prt Washingtn, NY 11050
Phone (516) 365-2929

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1982809547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 NORTHERN BLVD",
            "address_2": "SUITE C",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303004",
            "telephone_number": "516-365-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 NORTHERN BLVD",
            "address_2": "SUITE C",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303004",
            "telephone_number": "516-365-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC EXCELLENCE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "KINNEARY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-365-2929"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "5505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDNY",
            "identifier": "AZ00867",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "080005505NY02",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "2114203",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET ORTHONET",
            "identifier": "0061101",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PA",
            "identifier": "66496",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "Q45771",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "169333P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ORTHONET",
            "identifier": "02008401",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "5C7199",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P1536005",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD ORTHONET",
            "identifier": "Q45771",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.