SOUTHAMPTON HOSPITAL (NPI# 1962770602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962770602 |
| Entity Type | Organization |
| Organization Name | SOUTHAMPTON HOSPITAL |
| Other Organization Name | SPORTS REHAB WH |
| Practice Address |
74 Old Riverhead Rd Westhampton Beach NY 11978-1401 |
| Mailing Address |
Po Box 1613 Southampton NY 11969-1613 |
| Practice Telephone | 6312887767 |
| Mailing Telephone | 6317268514 |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | LAUREN ELIZABETH STOEBE (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 6317268514 |
| Authorized Official Credential | P.T./D.P.T. |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTHAMPTON HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | 0344081 | NY | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | CIGNA ORTHONET | 32501 | 01 |
| NY | HIP | F0105 | 01 |
| NY | VYTRA | 58418 | 01 |
| NY | GHI | 6697979 | 01 |
| NY | AETNA | 12755 | 01 |
| NY | EMPIRE | 000105 | 01 |
| NY | 00274406 | 05 | |
| NY | HEALTHNET | 3C4913 | 01 |
| NY | OXFORD | H04447 | 01 |
| NY | HEALTH ORTHONET | NY0346 | 01 |
| Other Name | Type Code |
|---|---|
| Sports Rehab WH | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326325259 | Southampton Hospital | General Acute Care Hospital | 35 Peconic Rd, Southampton, NY 11968-3624 | 2011-11-07 |
| 1780979591 | Southampton Hospital | General Acute Care Hospital | 1233 Melville Rd Apt 22, Farmingdale, NY 11735-1311 | 2011-06-09 |
| 1346391323 | Southampton Hospital | Rehabilitation Hospital | Sports Rehab East Hampton, 470 Pantigo Rd, East Hampton, NY 11937 | 2007-01-16 |
| 1063551331 | Southampton Hospital | General Acute Care Hospital | 240 Meeting House Ln, Southampton, NY 11968-5009 | 2007-02-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | SOUTHAMPTON HOSPITALITY GROUP LLC | 10 Pomper Drive, East Northport, Ny 11731 |
| New York State Corporations | SOUTHAMPTON HOSPITALITY, LLC | Po Box 756, Bridgehampton, Ny 11932 |
| Street Address |
74 OLD RIVERHEAD RD |
| City | WESTHAMPTON BEACH |
| State | NY |
| Zip Code | 11978-1401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346323813 | Southampton Hospital/sports Rehab Wh | Physical Therapist | 74 Old Riverhead Rd, Westhampton Beach, NY 11978 | 2006-10-20 |
| 1497159727 | Donna Boughal | Physical Therapy Assistant | 74 Old Riverhead Rd, Westhampton Beach, NY 11978-1401 | 2014-10-15 |
| 1881000537 | Pamela Powell | Physical Therapy Assistant | 74 Old Riverhead Rd, Westhampton Beach, NY 11978-1401 | 2014-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619502242 | Westhampton Beach Podiatry P.C. | Podiatrist | 70 C Old Riverhead Road, Westhampton Beach, NY 11978 | 2020-03-04 |
| 1750814711 | Magda Kowalczykowski | Student in an Organized Health Care Education/Training Program | 147 Beach Road, (at Montauk Highway), Westhampton Beach, NY 11978 | 2017-04-06 |
| 1639612609 | Sara L. Heim | Physical Therapist | 405 Gettysburg Drive, Westhampton Beach, NY 11978 | 2016-11-23 |
| 1699046763 | Corinne Karpf | Registered Nurse | 7 Seafield Lane, Westhampton Beach, NY 11978 | 2012-01-22 |
| 1013291012 | Judith Margolis | Social Worker | 3026 Mitchell Road, West Hampton Beach, NY 11978 | 2011-10-10 |
| 1811276611 | Suzanne D Kelly | Social Worker | 323 Mill Rd, Westhampton Beach, NY 11978 | 2011-08-10 |
| 1023326378 | Melissa Anne Ryan | Social Worker | 215 0ld Rivehead Road, Westhampton Beach, NY 11978 | 2010-09-21 |
| 1346485471 | Jody Lynn Cross | Counselor | 40 A Main St, Westhampton Beach, NY 11978 | 2008-12-03 |
| 1528216819 | Margaret Brogan | Occupational Therapist | 340 Mill Road, Westhampton Beach U.f.s.d., Westhampton Beach, NY 11978 | 2008-08-29 |
| 1184825952 | Marilyn Dignan | Social Worker | 380 Mill Road, Mill Roast West Hampton Beach, Ny, NY 11978 | 2007-05-30 |
| Find all providers in zip 11978 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134676729 | Billie Jo Loveless | Rehabilitation Unit | 6 East Clinton Street, Apt 1, Johnstown, NY 12095 | 2016-09-01 |
| 1205297009 | Big N Little Corp | Rehabilitation Unit | 1208 Avenue M Ste 2504, Brooklyn, NY 11230-5204 | 2016-03-08 |
| 1437548021 | Professional Caring Hands | Rehabilitation Unit | 129 Vernon Ave, Mount Vernon, NY 10553-1811 | 2015-01-20 |
| 1386040053 | James Pronesti Audiology Consultant Pllc | Rehabilitation Unit | 9402 Church Ave, Box 121058, Brooklyn, NY 11212-1679 | 2014-11-07 |
| 1881097962 | Atlantic Adult Day Care LLC | Rehabilitation Unit | 111 W End Ave, Brooklyn, NY 11235-4808 | 2014-10-02 |
| 1730589011 | Department of Education | Rehabilitation Unit | 37 Sherman Rd, Farmingdale, NY 11735-2236 | 2014-08-24 |
| 1992137335 | Shield Physical Therapy PC | Rehabilitation Unit | 8523 Broadway, Unit D, Elmhurst, NY 11373-5866 | 2013-08-08 |
| 1689937773 | Meghan D Condron, Physical Therapy, P.C. | Rehabilitation Unit | 933 Lester Rd, Yorktown Heights, NY 10598-2923 | 2012-06-22 |
| 1427314822 | Tinytree O.t, PC | Rehabilitation Unit | 54 Knickerbocker Ave, 2j, Brooklyn, NY 11237 | 2012-04-10 |
| 1104059112 | Annalyn Lazarus | Rehabilitation Unit | 60 Madison Ave Fl 8, New York, NY 10010-1676 | 2009-08-25 |
| Find all providers with the same taxonomy | ||||
| City | WESTHAMPTON BEACH |
| Zip Code | 11978 |
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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.