Organization Active NPI

Lotus Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Huntington, NY
National Provider Identifier
1982954517
Registry record updated Feb 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
022578-1 Issued in NY
Legal business name
LOTUS PHYSICAL THERAPY PC
Practice address
11 Stewart Ave
Huntington, NY 11743-2738
Phone
(631) 629-5507
NPI assigned
Sep 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2013

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

Authorized official

Name
Ms. Rachelle Bojer, MSPTNPI 1730136326
Title
President
Phone
(631) 629-5507

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 022578-1 NY Primary

Addresses

Primary practice location

11 Stewart Ave
Huntington, NY 11743-2738

Mailing address

39 Oakdale Rd
Centerport, NY 11721-1530
Phone (718) 986-2410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130207000333 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3971757584 Receives reassigned benefits from 8 practitioners
Practice locations: Huntington, NY; Yaphank, NY; Roslyn, NY; Riverhead, NY; Merrick, NY; Farmingdale, NY; Cutchogue, NY; Babylon, NY

National Provider Directory

National Provider Directory

Locations

2 Dubon Ct
Ste 1
Farmingdale, NY 11735
Phone (631) 629-5507

2150 Merrick Mall
Merrick, NY 11566
Phone (631) 629-5507

36 E 2nd St
Riverhead, NY 11901
Phone (631) 208-9219

17 Lumber Rd
Ste 8
Roslyn, NY 11576
Phone (631) 629-5507

95 Horseblock Rd
Unit 6A
Yaphank, NY 11980
Phone (475) 282-8930

95 Horseblock Rd
Yaphank, NY 11980
Phone (631) 317-2952

Practitioners & affiliated clinicians

Practitioners 8

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": "1347321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360195200000",
    "number": "1982954517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 OAKDALE RD",
            "city": "CENTERPORT",
            "state": "NY",
            "postal_code": "117211530",
            "telephone_number": "718-986-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 STEWART AVE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432738",
            "telephone_number": "631-629-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-11",
        "last_updated": "2013-02-07",
        "status": "A",
        "authorized_official_last_name": "BOJER",
        "authorized_official_first_name": "RACHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-629-5507",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "022578-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.