Northeast Restorative Physical and Occupational Therapy Services, PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

011600 Issued in NY

Legal business name

NORTHEAST RESTORATIVE PHYSICAL AND OCCUPATIONAL THERAPY SERVICES, PLLC

Practice address

633 E Main St
Suite 5
Riverhead, NY 11901-7013

Phone

(631) 477-6035

Fax

(631) 614-4291

NPI assigned

Jan 21, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Russ L'Hommedieu, DPTNPI 1699870204

Title

Owner

Phone

(631) 477-6035

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Russ A. L'Hommedieu, PT, M.A.

  • Orthopedic Physical Therapist
  • Riverhead, NY
  • NPI 1699870204
  NPD (past) Authorized official
• Kimberly Messina, P.T.

  • Physical Therapist
  • Lake Ronkonkoma, NY
  • NPI 1205056959
  NPD (past)
• David Tsoumpelis, OTR

  • Occupational Therapist
  • Southold, NY
  • NPI 1831275734
  NPD (past)

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

{
    "created_epoch": "1200873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200873600000",
    "number": "1982880951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 CARRINGTON RD",
            "city": "CUTCHOGUE",
            "state": "NY",
            "postal_code": "119351624",
            "telephone_number": "631-765-8069",
            "fax_number": "631-614-4291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 E MAIN ST",
            "address_2": "SUITE 5",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119017013",
            "telephone_number": "631-477-6035",
            "fax_number": "631-614-4291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST RESTORATIVE PHYSICAL AND OCCUPATIONAL THERAPY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-21",
        "last_updated": "2008-01-21",
        "status": "A",
        "authorized_official_last_name": "L'HOMMEDIEU",
        "authorized_official_first_name": "RUSS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-477-6035",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "011600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Fork Physical Therapy PC
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• North Shore Hematology Oncology Associates PC
• North Shore Hematology Oncology Associates PC
• Northport Vamc
• Yelda Nouri, M.D.
• Jacqueline Nova, LMHC
• Nutan Anand Physician PC
• Nutan Anand, MD, PC

• Physical Therapy Clinic/Center in Riverhead, NY
• Providers in Riverhead, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2008; 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.