NEW YORK PHYSICAL AND OCCUPATIONAL THERAPY PLLC (NPI# 1881614295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881614295 |
| Entity Type | Organization |
| Organization Name | NEW YORK PHYSICAL AND OCCUPATIONAL THERAPY PLLC |
| Other Organization Name | PROFORM PHYSICAL THERAPY |
| Practice Address |
317 Middle Country Road Suite # 3 Smithtown NY 11787 |
| Mailing Address |
569 E Main Street Bayshore NY 11706-8505 |
| Practice Telephone | 6313619246 |
| Practice Fax Number | 8882155091 |
| Mailing Telephone | 6316658645 |
| Mailing Fax Number | 6316658646 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2008-07-30 |
| Authorized Official Name | MS. IRENE DELPERCIO (OPERATIONS MANAGER) |
| Authorized Official Telephone | 6316658645 |
| Is Organization Subpart | Y |
| Parent Organization Name | NEW YORK PHYSICAL AND OCCUPATIONAL THERAPY PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Proform Physical Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356404198 | New York Physical and Occupational Therapy Pllc | Physical Therapist | 158 Irving Pl, Woodmere, NY 11598-1241 | 2006-12-19 |
| 1992725303 | New York Physical and Occupational Therapy Pllc | Physical Therapist | 10 Gordon Drive, Syosset, NY 11791 | 2006-07-20 |
| 1447270855 | New York Physical and Occupational Therapy Pllc | Physical Therapist | 235 Mill Street, Lawrence, NY 11559 | 2006-07-20 |
| 1821018235 | New York Physical and Occupational Therapy Pllc | Physical Therapist | 20 W Park Avenue, Suite 303, Long Beach, NY 11561 | 2006-07-20 |
| 1831119247 | New York Physical and Occupational Therapy Pllc | Physical Therapist | 16558 Baisley Blvd, Rochdale, NY 11434 | 2006-07-20 |
| 1760402176 | New York Physical and Occupational Therapy Pllc | Physical Therapist | 36 Plaza Street East, Brooklyn, NY 11238-5039 | 2006-07-20 |
| 1710907126 | New York Physical and Occupational Therapy Pllc | Physical Therapist | 64 N Long Beach Road, Rockville Centre, NY 11570 | 2006-07-20 |
| 1336169747 | New York Physical and Occupational Therapy Pllc | Physical Therapist | 250 West 100th Street, New York, NY 10025 | 2006-07-20 |
| 1649290057 | New York Physical and Occupational Therapy Pllc | Physical Therapist | 605 E Main St, Bay Shore, NY 11706-8505 | 2006-07-20 |
| 1164442570 | New York Physical and Occupational Therapy Pllc | Physical Therapist | 975 Franklin Ave, Garden City, NY 11530-2921 | 2006-07-20 |
| Street Address |
317 MIDDLE COUNTRY ROAD SUITE # 3 |
| City | SMITHTOWN |
| State | NY |
| Zip Code | 11787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508937061 | Marshall S. Blum | Dentist | 317 Middle Country Road, Suite 8, Smithtown, NY 11787-2818 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
| 1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
| 1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
| 1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
| 1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
| Find all providers in zip 11787 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225640618 | Recover At Home Pt Pllc | Clinic/Center | 26 Baylor Dr, Smithtown, NY 11787-2002 | 2020-08-18 |
| 1053514067 | All Island Phyiscal Therapy | Clinic/Center | 30 Route 111, Smithtown, NY 11787-3713 | 2007-06-07 |
| 1396832218 | Kare Therapeutics | Clinic/Center | 732 Smithtown Byp Ste 102a, Smithtown, NY 11787-5020 | 2006-10-10 |
| 1659631745 | Reach for The Stars Physical Therapy, P.C. | Clinic/Center | 48 Neil Dr, Smithtown, NY 11787-1241 | 2012-05-22 |
| 1821361478 | Haidee Ganz-bonhurst P.t., P.C. | Clinic/Center | 50 Route 111, Suite 103, Smithtown, NY 11787-3738 | 2012-02-13 |
| 1194868208 | Nadfred Corp. | Clinic/Center | 185 Old Willets Path, Smithtown, NY 11787-4105 | 2007-02-15 |
| 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 | ||||
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| 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.