DR. WILLIAM JOSEPH MITRUS DC CCSP NPI 1750331047

NPI Information

  • NPI: 1750331047
  • Provider Name: DR. WILLIAM JOSEPH MITRUS, DC CCSP
  • Classification: Chiropractor - 111NS0005X
  • Specialization: Sports Physician
  • Entity Type: Individual
  • Address: 745 TERRY RD
    HAUPPAUGE, NY
    ZIP 11788
  • Phone: (631) 665-6881

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NPI Details

DR. William Joseph Mitrus, DC CCSP is a sports physician chiropractor in Hauppauge, NY with 25 years of experience. The provider is a sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. DR. William Joseph Mitrus, DC CCSP NPI is 1750331047. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK CHIROPRACTIC COLLEGE
Graduation Year:2000

The provider's business location address is:

745 TERRY RD
HAUPPAUGE, NY
ZIP 11788-459
Phone: (631) 665-6881
Fax: (631) 961-0410

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Chiropractic manipulative treatment, 1-2 spinal regions (HCPCS:98940)

The enumeration date for this NPI number is 5/10/2006 and was last updated on 1/11/2010.

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
1111NS0005XChiropractorSports PhysicianX009709NEW YORKYes

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
1U82106MEDICARE UPINNEW YORK
2X5F601MEDICARE ID-TYPE UNSPECIFIEDNEW YORK

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: 3/30/2025

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