Active NPI
Therapeutic Excellence Physical Therapy PC
- Physical Therapist
- Manhasset, NY
National Provider Identifier
1982809547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5505
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ00867 | Other | NY | MDNY |
| 080005505NY02 | Other | NY | ANTHEM |
| 2114203 | Other | NY | AETNA US HEALTHCARE |
| 0061101 | Other | NY | HEALTHNET ORTHONET |
| 66496 | Other | PA | BLUE SHIELD PA |
| Q45771 | Other | NY | BLUE SHIELD |
| 169333P | Other | NY | HIP |
| 02008401 | Other | NY | AETNA ORTHONET |
| 5C7199 | Other | NY | HEALTHNET |
| P1536005 | Other | NY | OXFORD |
| Q45771 | Other | NY | BLUE SHIELD ORTHONET |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapist
- Manhasset, NY
- NPI 1083718027
-
- Occupational Therapist
- Oyster Bay, NY
- NPI 1629933411
-
- Physical Therapist
- Manhasset, NY
- NPI 1124143318
-
- Physical Therapist
- Manhasset, NY
- NPI 1326163536
-
- Physical Therapist
- Manhasset, NY
- NPI 1083739973
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.