<unavail> in East Northport, NY - Medicare Physical Therapist Provider

is a medicare enrolled "Physical Therapist" provider in East Northport, New York. Their current practice location is 554 Larkfield Rd, Suite 207, East Northport, New York. You can reach out to their office (for appointments etc.) via phone at (631) 266-4501.

is licensed to practice in New York (license number 013896-1) and it also participates in the medicare program. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1487786158.

Contact Information


	554 Larkfield Rd, Suite 207, East Northport, NY 11731-4205
	(631) 266-4501
	(631) 266-4502

Map and Direction

Healthcare Provider's Profile

Full Name
Type	Facility
Speciality	Physical Therapist
Location	554 Larkfield Rd, East Northport, New York
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487786158
Provider Enumeration Date: 03/09/2007
Last Update Date: 04/20/2008

Medicare PECOS Information:

PECOS PAC ID: 2264517945
Enrollment ID: O20080305000077

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487786158	NPI	-	NPPES
54388	Other	NY	VYTRA
Q38811	Other	NY	EMPIRE BC BS
AZ00899	Other	NY	MDNY
6699926	Other	NY	GHI
A2517039	Other	NY	OXFORD
01914598	Medicaid	NY
218199P	Other	NY	HIP

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	018783-0 (New York)	Secondary
225100000X	Physical Therapist	013896-1 (New York)	Primary
2251C2600X	Physical Therapist - Cardiopulmonary	013896-1 (New York)	Secondary
2251E1200X	Physical Therapist - Ergonomics	013896-1 (New York)	Secondary
2251G0304X	Physical Therapist - Geriatrics	013896-1 (New York)	Secondary
2251G0304X	Physical Therapist - Geriatrics	018783-0 (New York)	Secondary
2251H1200X	Physical Therapist - Hand	013896-1 (New York)	Secondary
2251N0400X	Physical Therapist - Neurology	013896-1 (New York)	Secondary
2251S0007X	Physical Therapist - Sports	013896-1 (New York)	Secondary
2251X0800X	Physical Therapist - Orthopedic	013896-1 (New York)	Secondary
225200000X	Physical Therapy Assistant	002632-1 (New York)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Steven C Desousa
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1457321911 PECOS PAC ID: 8325122609 Enrollment ID: I20080226000132

Provider Name	Jennifer E Lackowitz
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1881730497 PECOS PAC ID: 1153759014 Enrollment ID: I20200309000813

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
554 Larkfield Rd, Suite 207, East Northport, NY 11731-4205 Ph: (631) 266-4501	554 Larkfield Rd, Suite 207, East Northport, NY 11731-4205 Ph: (631) 266-4501

Reviews and Comments

Physical Therapist in East Northport, NY

Joseph Kleynowski, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 279 Larkfield Rd, East Northport, NY 11731 Phone: 631-262-1370 Fax: 631-262-0415
Amy Piacentini, PT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 5 Alister Cir, East Northport, NY 11731 Phone: 631-543-7771
Paul Henry Vazquez, M.S., P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 457 Clay Pitts Rd, East Northport, NY 11731 Phone: 631-486-8572 Fax: 631-368-4975
Ms. Kathleen C Fruehsamer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19 Wood Sorrell Ln, East Northport, NY 11731 Phone: 631-368-8009
Provident Physical And Occupational Therapy Pllc Physical Therapist Medicare: Medicare Enrolled Practice Location: 554 Larkfield Rd Ste 207, East Northport, NY 11731 Phone: 631-266-4501 Fax: 631-266-4502
Emily Connolly, Physical Therapist Medicare: Medicare Enrolled Practice Location: 9a Hewitt Sq, East Northport, NY 11731 Phone: 631-721-9530
Graceanne Lopez, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3072 Jericho Tpke, East Northport, NY 11731 Phone: 631-462-9595

- Medicare Physical Therapist in East Northport, NY