WESTERN NASSAU PT NPI 1093861163

NPI Information

  • NPI: 1093861163
  • Provider Name: WESTERN NASSAU PT
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Doing Business As: PEAK PERFORMANCE PT
  • Address: 1730 LAKEVILLE RD
    NEW HYDE PARK, NY
    ZIP 11040
  • Phone: (516) 326-4580

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NPI Details

WESTERN NASSAU PT is a specialist in New Hyde Park, 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. WESTERN NASSAU PT NPI is 1093861163. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Peak Performance Pt.

The provider's business location address is:

1730 LAKEVILLE RD
NEW HYDE PARK, NY
ZIP 11040-506
Phone: (516) 326-4580
Fax: (516) 326-0793

The provider's authorized official is Joseph Francis Sullivan .
The authorized official title is President and has the following contact phone number (516) 326-4580.

The enumeration date for this NPI number is 1/25/2007 and was last updated on 8/22/2020.

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
1174400000XSpecialistYes

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: 11/21/2025

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