LONG ISLAND PREMIER PHYSICAL & AQUATIC THERAPY LLC NPI 1639319122

NPI Information

NPI: 1639319122
Provider Name: LONG ISLAND PREMIER PHYSICAL & AQUATIC THERAPY LLC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 33D0691567

Address:
155 W SUNRISE HWY
LINDENHURST, NY
ZIP 11757
Phone: (631) 991-3311
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LONG ISLAND PREMIER PHYSICAL & AQUATIC THERAPY LLC is a specialist in Lindenhurst, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. LONG ISLAND PREMIER PHYSICAL & AQUATIC THERAPY LLC NPI is 1639319122. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

155 W SUNRISE HWY
LINDENHURST, NY
ZIP 11757-435
Phone: (631) 991-3311

The provider's authorized official is Brandon Spahn .
The authorized official title is Owner/therapist and has the following contact phone number (631) 991-3311.

The CLIA number assigned to this NPI record is 33D0691567 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/24/2009 and was last updated on 4/7/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		029010-1	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q076C1	OTHER	NEW YORK	BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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