SOUTH NASSAU PHYSICAL THERAPY (NPI# 1619324803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619324803 |
| Entity Type | Organization |
| Organization Name | SOUTH NASSAU PHYSICAL THERAPY |
| Practice Address |
230 Hilton Ave Suite 19 Hempstead NY 11550-8115 |
| Practice Telephone | 5163079166 |
| Practice Fax Number | 5163079165 |
| Mailing Telephone | 5163079166 |
| Mailing Fax Number | 5163079165 |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-05-18 |
| Authorized Official Name | DR. SABAA MUNDIA (PHYSICAL THERAPIST - OWNER) |
| Authorized Official Telephone | 5163079166 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
029592 | NY | Ambulatory Health Care Facilities |
| Street Address |
230 HILTON AVE SUITE 19 |
| City | HEMPSTEAD |
| State | NY |
| Zip Code | 11550-8115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427058163 | Ranvir Singh Yadav | Internal Medicine | 230 Hilton Ave, Ste 105, Hempstead, NY 11550-8115 | 2005-07-22 |
| 1831627850 | Jayna Phillips | Family Medicine | 230 Hilton Ave, Hempstead, NY 11550-8115 | 2017-06-03 |
| 1154869543 | South Nassau Physical Therapy PC | Physical Therapist | 230 Hilton Ave, Suite 19 and 20, Hempstead, NY 11550-8115 | 2017-02-06 |
| 1356798417 | Krissa Livoti | Occupational Therapist | 230 Hilton Ave, Suite 19, Hempstead, NY 11550-8115 | 2016-05-18 |
| 1275992034 | Endocrine Technology, LLC | Clinic/Center | 230 Hilton Ave, Suite 17, Hempstead, NY 11550-8115 | 2016-02-22 |
| 1033547518 | Mager & Gougelman, Inc | Prosthetic/Orthotic Supplier | 230 Hilton Ave, Suite 112, Hempstead, NY 11550-8115 | 2013-10-22 |
| 1417393331 | Empire Cardiovascular, P.C. | Internal Medicine | 230 Hilton Ave, Suite 105, Hempstead, NY 11550-8115 | 2013-05-18 |
| 1538412093 | Cheniqua Jose | Doula | 230 Hilton Ave, Hempstead, NY 11550-8115 | 2012-10-22 |
| 1639430630 | Lina Gilic | Specialist | 230 Hilton Ave, Suite 221, Hempstead, NY 11550-8115 | 2012-06-06 |
| 1538469713 | Gamaliel Immanuel,physician PC | Internal Medicine | 230 Hilton Ave, Suite 214, Hempstead, NY 11550 | 2010-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811505720 | Karla Louelle Timbol Casino | Physical Therapist | Synergy Health Medical Solutions PC, 95 Clinton St, Hempstead, NY 11550 | 2020-07-16 |
| 1942790720 | Move Better Physical Therapy Pllc | Clinic/Center | 135 Clinton St Unit Lb4, Hempstead, NY 11550 | 2018-05-16 |
| 1962929687 | Selina Mahadeo | Licensed Practical Nurse | 1234 Hempstead Ave, Hempstead, NY 11550 | 2017-08-23 |
| 1023544145 | Ann Marie Clarke | Registered Nurse | 12 Saint Pl, Hempstead, NY 11550 | 2017-05-10 |
| 1902330053 | Yamillette Kinard | Specialist | 18 Mitchell Ct, Hempstead, NY 11550 | 2017-04-16 |
| 1356726293 | Mercy Medical Center | Community/Behavioral Health | 506 Stewart Avenue, Garden City, NY 11550 | 2015-07-21 |
| 1053798108 | Kadia Chisholm | Licensed Practical Nurse | 50 Clinton Street (suite 601), Hempstead, NY 11550 | 2015-04-28 |
| 1558757658 | Oti Management Consulting, Inc | Community/Behavioral Health | 50 Clinton St Suite 205 Rm2, Hempstead, NY 11550 | 2015-04-15 |
| 1578969333 | Kadiatu Koroma | Licensed Practical Nurse | 100 Terrace Ave, Apt. 555, Hempstead, NY 11550 | 2014-11-06 |
| 1669895363 | Debbie Smith Pt Pllc | Physical Therapist | 36 Cathedral Avenue, 6e, Hempstead, NY 11550 | 2014-01-31 |
| Find all providers in zip 11550 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811537418 | Arl Group LLC | Clinic/Center | 395 Westbury Blvd, Hempstead, NY 11550-1941 | 2020-01-10 |
| 1942790720 | Move Better Physical Therapy Pllc | Clinic/Center | 135 Clinton St Unit Lb4, Hempstead, NY 11550 | 2018-05-16 |
| 1033645254 | 21 Physical Therapy,p.c. | Clinic/Center | 27 W Columbia St, Hempstead, NY 11550-2429 | 2017-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639842 | Lion Physical Therapy Pllc | Clinic/Center | 2420 Jackson Ave Ste 205, Long Island City, NY 11101-4332 | 2020-11-02 |
| 1144820762 | Phoenix Physical Therapy Pllc | Clinic/Center | 337 Blaisdell Rd, Orangeburg, NY 10962-2508 | 2020-11-01 |
| 1174122808 | The Body Workshop Physical Therapy Pllc | Clinic/Center | 70 Balsam Way, Clifton Park, NY 12065-6787 | 2020-10-23 |
| 1013516012 | Laura Alexandra Kelly | Clinic/Center | 599 Knollwood Rd, White Plains, NY 10603-1918 | 2020-10-21 |
| 1982202404 | Mobility Health Physical Therapy | Clinic/Center | 10545 Avenue M, Brooklyn, NY 11236-4603 | 2020-10-16 |
| 1053919589 | Hun K Physical Therapy P.C. | Clinic/Center | 4015 81st St Apt A65, Elmhurst, NY 11373-1343 | 2020-10-16 |
| 1730786369 | Palisades Lymphedema & Oncology Physiotherapy, Rllp | Clinic/Center | 7 New Lake Rd, Valley Cottage, NY 10989-1868 | 2020-10-06 |
| 1831796713 | Quality Movement Restoration, LLC | Clinic/Center | 12027 165th St, Jamaica, NY 11434-2526 | 2020-10-05 |
| 1134726359 | John Lathrop Physical Therapy Pllc | Clinic/Center | 3152 35th St Apt 1r, Astoria, NY 11106-1546 | 2020-10-01 |
| 1720695430 | John Bianchini Pt PC | Clinic/Center | 11 N Nancy Pl, Massapequa, NY 11758-1912 | 2020-09-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SOUTH NASSAU PHYSICAL THERAPY.
| 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.