WESTON PAXXON PT OT & SLP PLLC (NPI# 1144251620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144251620 |
| Entity Type | Organization |
| Organization Name | WESTON PAXXON PT OT & SLP PLLC |
| Practice Address |
4089 Nesconset Hwy South Setauket NY 11720-1260 |
| Mailing Address |
2222 Sullivan Trl Easton PA 18040-7958 |
| Practice Telephone | 6313311988 |
| Practice Fax Number | 6313311988 |
| Mailing Telephone | 6109912034 |
| Mailing Fax Number | 6104382046 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2007-10-12 |
| Authorized Official Name | ROGER RAYMOND BERKLEY JR. (EXECUTIVE VP) |
| Authorized Official Telephone | 6314673700 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
003194-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679583603 | Weston Paxxon Pt Ot & Slp Pllc | Occupational Therapist | 345 Northern Blvd, Suite 100, Albany, NY 12204-1001 | 2006-08-09 |
| 1689605164 | Weston Paxxon Pt Ot & Slp Pllc | Physical Therapist | 333 W 86th St, Suite 601, New York, NY 10024-3114 | 2006-07-05 |
| 1184809923 | Weston Paxxon Pt Ot & Slp Pllc | Occupational Therapist | 140 Washington Avenue Ext, Albany, NY 12203-5399 | 2007-12-28 |
| Street Address |
4089 NESCONSET HWY |
| City | SOUTH SETAUKET |
| State | NY |
| Zip Code | 11720-1260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205130192 | Kapson Senior Quarters Corp. | Assisted Living Facility | 4089 Nesconset Hwy, South Setauket, NY 11720-1260 | 2011-01-06 |
| 1225190465 | Darlene Patricia O'reilly | Occupational Therapist | 4089 Nesconset Hwy, South Setauket, NY 11720-1260 | 2006-12-14 |
| 1053419630 | Joan Berkley | Physical Therapist | 4089 Nesconset Hwy, South Setauket, NY 11720-1260 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508409087 | Carolyn Barravecchio | Marriage & Family Therapist | 35 South Kennedy Drive, Centereach, NY 11720 | 2019-10-28 |
| 1588158406 | Robin Smith | Social Worker | 129 Dawn Drive, Centereach, NY 11720 | 2018-06-15 |
| 1154820553 | Amanda Grodewald-adler, Psy.d., Pllc | Clinic/Center | 1919 Middle Country Rd Ste 308, Centereach, NY 11720 | 2018-02-12 |
| 1760901144 | Gabrielle Tatiana Zutter | Behavior Technician | 23 Jay Road, Centerach, NY 11720 | 2017-09-16 |
| 1619401544 | Michelle Leblanc | Licensed Practical Nurse | 8 Catalina Ct, Centerreach, NY 11720 | 2017-04-18 |
| 1023557212 | Alexa Brooke Ruggiero | Student in an Organized Health Care Education/Training Program | 30 Strathmore Village Dr, South Setauket, NY 11720 | 2017-02-21 |
| 1336539519 | Rosemarie Bruno | Social Worker | 3771 Nesconset Hwy Ste 102a, South Setauket, NY 11720 | 2015-01-27 |
| 1225446115 | Kristen Kunkel | Specialist/Technologist | 26 Lily Dr, South Setauket, NY 11720 | 2014-07-24 |
| 1497175897 | Jacqueline Maddox | Student in an Organized Health Care Education/Training Program | 11 43rd Street, Centereach, NY 11720 | 2014-04-24 |
| 1336492370 | Valentina Blaine | Optometrist | 1958 Middle Country Rd, Centereach, NY 11720 | 2012-10-15 |
| Find all providers in zip 11720 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003425968 | Onward Physical Therapy, Pllc | Physical Therapist | 625 West Dryden Rd, Freeville, NY 13068-9746 | 2020-07-27 |
| 1487270765 | Narda Silipo | Physical Therapist | 40 Merrick Ave, East Meadow, NY 11554-1581 | 2020-06-22 |
| 1851931380 | Shirley John | Physical Therapist | 51 Highway Ave, Congers, NY 10920-2519 | 2020-01-13 |
| 1467096453 | Kathleen Freund | Physical Therapist | 1963 Lincoln Ct, Westbury, NY 11590-5924 | 2019-11-01 |
| 1487204038 | Monique Susanne Berg-spindelman | Physical Therapist | 4 Cedarwood Cir, Pittsford, NY 14534-3246 | 2019-09-16 |
| 1215586839 | Bishoy Maximous | Physical Therapist | 47 Brook Ave, Staten Island, NY 10306-4434 | 2019-09-06 |
| 1558915488 | David Michael Avery | Physical Therapist | 107 Laverack Ave, Lancaster, NY 14086-1844 | 2019-07-29 |
| 1659855534 | Eileen Galang | Physical Therapist | 347 Richard Ct, Pomona, NY 10970-2310 | 2018-09-18 |
| 1467935494 | Megan Passarelle | Physical Therapist | 29 Debragga Ave, East Moriches, NY 11940-1416 | 2018-09-14 |
| 1891275012 | Betty Ann M Dubacher | Physical Therapist | 43 Red Pond Rd, Petersburg, NY 12138-5916 | 2018-08-16 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH SETAUKET |
| Zip Code | 11720 |
Please comment or provide details below to improve the information on WESTON PAXXON PT OT & SLP PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.