NORTH FORK PHYSICAL THERAPY PC (NPI# 1972655041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972655041 |
| Entity Type | Organization |
| Organization Name | NORTH FORK PHYSICAL THERAPY PC |
| Practice Address |
31 Main Rd Suite 4 Riverhead NY 11901-1953 |
| Mailing Address |
Po Box 2442 Aquebogue NY 11931-2442 |
| Practice Telephone | 6312082900 |
| Practice Fax Number | 6312082929 |
| Mailing Telephone | 6312082900 |
| Mailing Fax Number | 6312082929 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARC P WAHL (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 6312082900 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
019081-1 | NY | Ambulatory Health Care Facilities |
| Street Address |
31 MAIN RD SUITE 4 |
| City | RIVERHEAD |
| State | NY |
| Zip Code | 11901-1953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760473573 | Roy Prashad | Internal Medicine | 31 Main Rd, Suite 1, Riverhead, NY 11901-1953 | 2005-10-31 |
| 1801240064 | Judith Marianna Magloczki | Family Medicine | 31 Main Rd, Riverhead, NY 11901-1953 | 2016-04-14 |
| 1336526870 | Marina Homecare Agency of Ny, Inc. | Home Health | 31 Main Rd, Suite 9, Riverhead, NY 11901-1953 | 2015-05-05 |
| 1962840207 | Jeffrey Tiu | Family Medicine | 31 Main Rd, Suite 1, Riverhead, NY 11901-1953 | 2013-06-09 |
| 1427399161 | Kaushik Satyanarayana Manthani | Family Medicine | 31 Main Rd, Suite 1, Riverhead, NY 11901-1953 | 2013-03-05 |
| 1477863082 | Mary Kathleen Martin | Nurse Practitioner | 31 Main Rd, Riverhead, NY 11901-1953 | 2010-10-15 |
| 1811187214 | Peconic Surgical Group, PC | Specialist | 31 Main Rd, Suite 2, Riverhead, NY 11901-1953 | 2007-07-31 |
| 1720120686 | East End Family Practice | Physician Assistant | 31 Main Rd, Riverhead, NY 11901-1953 | 2007-02-13 |
| 1477601649 | Marc P Wahl | Physical Therapist | 31 Main Rd, Suite 4, Riverhead, NY 11901-1953 | 2007-01-06 |
| 1205919115 | Vishnudat Seodat | Family Medicine | 31 Main Rd, Suite 1, Riverhead, NY 11901-1953 | 2006-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578102786 | Michael Arthur Frangeskos | Physician Assistant | 1330 Roanoke Avenue, Riverhead, NY 11901 | 2020-01-06 |
| 1922569136 | Mjd Optical Corp | Optometrist | 1053 Route 58 Roanoke Ave, Riverhead, NY 11901 | 2019-03-29 |
| 1356837702 | Justin M Liu | Physician Assistant | 31 Main Rd Ste 3, Riverhead, NY 11901 | 2018-07-09 |
| 1467943522 | North Shore Hematology Oncology Associates PC | Clinic/Center | 750 Old Country Rd Bldg 2, Riverhead, NY 11901 | 2018-05-24 |
| 1063918688 | Riverhead Volunteer Ambulance Corps Inc | Ambulance | 111 Osborn Ave, Riverhead, NY 11901 | 2018-04-03 |
| 1669977906 | Joseph Cataldo | Student in an Organized Health Care Education/Training Program | 64 Ida Lane, Riverhead, NY 11901 | 2018-03-28 |
| 1861903056 | The Flanders Northampton Volunteer Ambulance Company Inc | Ambulance | 641 Flanders Road, Flanders, NY 11901 | 2017-10-16 |
| 1336676659 | Patricia Ann Leask | Registered Nurse | 300 Center Drive Suite 250, Methadone Clinic Department of Mental Health, Riverhead, NY 11901 | 2017-05-17 |
| 1922463447 | Diana Williams-burke | Counselor | 550 East Main St Suite 103, Riverhead, NY 11901 | 2015-12-29 |
| 1699155549 | Twin Forks Optometry, Pllc | Optometrist | 25 Cranberry Street, Riverhead, NY 11901 | 2015-06-05 |
| Find all providers in zip 11901 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790174373 | Anna Sakhno Physical Therapy, Pllc | Clinic/Center | 724 Pulaski St, Riverhead, NY 11901-3040 | 2015-01-20 |
| 1659505287 | Comprehensive Therapy Services Pt & Ot Pllc | Clinic/Center | 33 Pirate St, Riverhead, NY 11901-1028 | 2009-05-11 |
| 1982880951 | Northeast Restorative Physical and Occupational Therapy Services, Pllc | Clinic/Center | 633 E Main St, Suite 5, Riverhead, NY 11901-7013 | 2008-01-21 |
| 1770622854 | Maximum Performance Physical Therapy | Clinic/Center | 185 Old Country Rd, Suite 4, Riverhead, NY 11901 | 2007-02-06 |
| 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 |
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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.