JOHN T MATHER MEMORIAL HOSPITAL (NPI# 1417355587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417355587 |
| Entity Type | Organization |
| Organization Name | JOHN T MATHER MEMORIAL HOSPITAL |
| Practice Address |
75 N Country Rd Port Jefferson NY 11777-2119 |
| Practice Telephone | 6314731320 |
| Practice Fax Number | 6316867972 |
| Mailing Telephone | 6314731320 |
| Mailing Fax Number | 6316867972 |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2014-12-05 |
| Authorized Official Name | MR. JOSEPH WISNOSKI (VP FINANCE) |
| Authorized Official Telephone | 6314731320 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750740437 | John T Mather Memorial Hospital | General Acute Care Hospital | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2016-02-23 |
| 1366816894 | John T Mather Memorial Hospital | Internal Medicine | 75 N Country Rd, Suite 201, Port Jefferson, NY 11777-2119 | 2015-11-20 |
| 1922486182 | John T Mather Memorial Hospital | Physical Medicine & Rehabilitation | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2015-05-08 |
| 1881082691 | John T Mather Memorial Hospital | General Acute Care Hospital | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2014-12-31 |
| 1265844716 | John T Mather Memorial Hospital | Physician Assistant | 625 Belle Terre Rd, Suite 203, Port Jefferson, NY 11777-2316 | 2014-06-02 |
| 1427280353 | John T Mather Memorial Hospital | Surgery | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2009-08-11 |
| 1821244757 | John T Mather Memorial Hospital | General Acute Care Hospital | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2008-08-12 |
| Street Address |
75 N COUNTRY RD |
| City | PORT JEFFERSON |
| State | NY |
| Zip Code | 11777-2119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093718728 | John T. Mather Memorial Hospital | Psychiatric Unit | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2005-05-27 |
| 1124633169 | Ewelina Mieczkowska | Physician Assistant | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2020-09-15 |
| 1114546652 | Kelly Miller | Registered Nurse | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2020-04-14 |
| 1194344143 | John Lotfi | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2020-04-10 |
| 1669001897 | Robert Franklin Wilson | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2020-04-08 |
| 1245868611 | Tia Bimal | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2020-03-31 |
| 1427686203 | Aakash Babaria | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2020-03-29 |
| 1821626789 | Anjali Kewalramani | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2020-03-27 |
| 1578190591 | Joon Oh | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Port Jefferson, NY 11777-2190 | 2020-03-27 |
| 1871121848 | Sonali Nanda | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2020-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568088615 | Aqsa Ashraf | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mather Hospital Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-24 |
| 1366068975 | Manal Ahmad | Student in an Organized Health Care Education/Training Program | 75 N County Rd, Level 2 Cmo Suite, Internal Medicine Re, Mather Hospital, Port Jefferson, NY 11777 | 2020-06-19 |
| 1639794555 | Umair Ahmad Ansari | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mother Hospital, Internal Medicine Re, Level 2 - Cmd Suite, Port Jefferson, NY 11777 | 2020-06-16 |
| 1578188132 | Manasi Sule | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Mather Hospital, Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-10 |
| 1508480716 | Imona Subedi | Student in an Organized Health Care Education/Training Program | 75 N Country Road, Level 2 - Cmo Suite, Mather Hospital Internal Medicine Residency Program, Port Jefferson, NY 11777 | 2020-06-03 |
| 1184252108 | Romana Imtiaz Syed | Student in an Organized Health Care Education/Training Program | Liza M Dominioni,mather Hospital,internal Medicine, Residency Program,level 2-cmo Suite,75 N Country Rd, Port Jefferson, NY 11777 | 2020-03-27 |
| 1649807348 | Mustafa Mohammed Abdulsada | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Ny, Level 2 - Cmo Suite, Port Jefferson, NY 11777 | 2020-03-24 |
| 1184264764 | Girma Moges Gamme | Surgery | 625 Belle Terre Rd, Suite 203 Mather Hospital, Port Jefferson, NY 11777 | 2020-01-10 |
| 1811554637 | Kausar Ali | Nurse Practitioner | 408 Thompson Street, Port Jefferson, NY 11777 | 2019-05-28 |
| 1073097531 | Ministry for Hope, Inc. Montfort Therapeutic Residence | Residential Treatment Facility, Physical Disabilities | 100 Stonyhill Road, Port Jefferson, NY 11777 | 2018-09-20 |
| Find all providers in zip 11777 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366821514 | Jennifer Virga | Physical Therapist | 125 Oakland Ave Ste 301, Port Jefferson, NY 11777-2130 | 2015-05-20 |
| 1104122175 | Elizabeth Ann Thomas-lov | Physical Therapist | 5 Avon Dr, Port Jefferson, NY 11777-2103 | 2011-02-08 |
| 1235445370 | Mary Jane Vacirca | Physical Therapist | 123 Barnum Ave, Port Jefferson, NY 11777-1621 | 2010-08-26 |
| 1316170061 | David Nieves | Physical Therapist | 7 Laurita Gate, Port Jefferson, NY 11777-2113 | 2009-08-28 |
| 1841440518 | Joan E Stecker | Physical Therapist | 718 Pine Tree Ct, Port Jefferson, NY 11777-1916 | 2008-09-30 |
| 1356470306 | Terri Suzanne Schlegel | Physical Therapist | 120 Thompson St, Port Jefferson, NY 11777-1819 | 2007-03-05 |
| 1164550380 | Susan Prechtl-loper | Physical Therapist | 117 Oakwood Rd, Port Jefferson, NY 11777-1422 | 2007-03-01 |
| 1710023122 | Christine E O'reilly | Physical Therapist | 525 E Broadway, Port Jefferson, NY 11777-1430 | 2007-01-30 |
| 1104930908 | John C Kawas | Physical Therapist | 655 Belle Terre Rd, Apart 55, Port Jefferson, NY 11777-1960 | 2006-08-18 |
| 1538136601 | Melissa Jilll Marvin-melzer | Physical Therapist | 3 Ronald Ct, Port Jefferson, NY 11777-1156 | 2006-03-07 |
| Find all providers in PORT JEFFERSON | ||||
| City | PORT JEFFERSON |
| Zip Code | 11777 |
Please comment or provide details below to improve the information on JOHN T MATHER MEMORIAL HOSPITAL.
| 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.