PROACTIVE PHYSICAL THERAPY AND WELLNESS PC (NPI# 1679613780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679613780 |
| Entity Type | Organization |
| Organization Name | PROACTIVE PHYSICAL THERAPY AND WELLNESS PC |
| Practice Address |
52 Wall St Huntington NY 11743-2181 |
| Mailing Address |
52 Wall St Huntington NY 11743-2065 |
| Practice Telephone | 5163980875 |
| Practice Fax Number | 6312713037 |
| Mailing Telephone | 5163980875 |
| Mailing Fax Number | 6312713037 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2015-06-16 |
| Authorized Official Name | MR. STEVEN HARRY LOGIN (OWNER) |
| Authorized Official Telephone | 5163980875 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
0188001 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
52 WALL ST |
| City | HUNTINGTON |
| State | NY |
| Zip Code | 11743-2181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447896477 | Peter C Gaal | Behavioral Analyst | 47 N. Woodhull Road, 2nd Floor, Huntington, NY 11743 | 2019-11-25 |
| 1902389299 | Taylor Bliss Dambrosio | Early Intervention Provider Agency | 38 Carnegie Ave, Huntington, NY 11743 | 2018-09-12 |
| 1639601750 | Speech and Hearing Services | Clinic/Center | 17 Brooks Ave Unit1, Huntington, NY 11743 | 2017-03-29 |
| 1174983456 | Helene Falcone | Registered Nurse | 264 W. 22nd St., Oakwood Primary Center, Hunt., NY 11743 | 2016-03-01 |
| 1124499470 | Thomas Hlenski | Social Worker | 4 Richard Lane, Huntington, NY 11743 | 2015-10-13 |
| 1174921308 | Jeanne Ginsberg | Counselor | 81 Knollwood Avenue, Huntington, NY 11743 | 2014-12-22 |
| 1770980534 | Emily Ann Sombke | Physician Assistant | 249 Manor Rd., Huntington, NY 11743 | 2014-11-21 |
| 1881096162 | Applied Health Chiropractic | Chiropractor | 12 Ash Pl, Huntington, NY 11743 | 2014-09-18 |
| 1265857643 | Ccs Medical Practice, Pllc | Public Health or Welfare | 17 Southdown Road, Huntington, NY 11743 | 2014-02-21 |
| 1255760682 | Ekaterina Femminella | Acupuncturist | 181 Main St Ste 105, Huntington, NY 11743 | 2013-11-06 |
| Find all providers in zip 11743 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477627040 | Jamie Filip Glick | Physical Therapist | 444 W Jericho Tpke, Ste A, Huntington, NY 11743-6061 | 2006-11-17 |
| 1053677724 | Norbert Jack Ryglewicz | Physical Therapist | 232 E Main St, Huntington, NY 11743-2980 | 2012-04-07 |
| 1326215922 | Christopher Edward Turuta | Physical Therapist | 467 New York Ave, Huntington, NY 11743-3557 | 2008-05-13 |
| 1174717607 | Heidi Emma Marchal | Physical Therapist | 1426 6th Ave, Huntington, WV 25701-2499 | 2007-08-28 |
| 1659456374 | Randi Diprima | Physical Therapist | 175 E Main St, Suite 110, Huntington, NY 11743-2939 | 2006-10-25 |
| 1306948450 | Shaden Ghattas Ryglewicz | Physical Therapist | 232 E Main St, Huntington, NY 11743-2980 | 2006-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760152 | Molly Ripp | Physical Therapist | 1165 Northern Blvd Ste 403, Manhasset, NY 11030-3048 | 2020-11-02 |
| 1982202024 | Integrated Pt2 Pllc | Physical Therapist | 4720 Center Blvd Apt 3006, Long Island City, NY 11109-5648 | 2020-10-12 |
| 1891392940 | Dr Omolola Omishore Pt, P.C. | Physical Therapist | 1138 Ocean Ave Apt 6i, Brooklyn, NY 11230 | 2020-10-01 |
| 1912514704 | Hochung Jeon | Physical Therapist | 4545 Center Blvd Apt 904, Long Island City, NY 11109-5917 | 2020-09-25 |
| 1831704469 | Colleen M Brough | Physical Therapist | 710 W 168th St Ste 336, New York, NY 10032-3726 | 2020-09-10 |
| 1225641731 | Kyle Dillon | Physical Therapist | 667 Stoneleigh Ave Ste 11, Carmel, NY 10512-2454 | 2020-08-25 |
| 1346853033 | R.l. Physical Therapy | Physical Therapist | 1676 Putney Road, Valley Stream, NY 11580 | 2020-08-24 |
| 1194335059 | Donn Samson | Physical Therapist | 8762 52nd Ave Fl 2, Elmhurst, NY 11373-3938 | 2020-08-05 |
| 1679195499 | Vital Rehab LLC | Physical Therapist | 3165 Nostrand Ave Apt 4e, Brooklyn, NY 11229-3243 | 2020-05-14 |
| 1508485657 | Melvin Varghese | Physical Therapist | 172 Hoover Rd, Yonkers, NY 10710-3409 | 2020-04-09 |
| Find all providers with the same taxonomy | ||||
| City | HUNTINGTON |
| Zip Code | 11743 |
Please comment or provide details below to improve the information on PROACTIVE PHYSICAL THERAPY AND WELLNESS PC.
| 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.