PROFORM PHYSICAL THERAPY – NPI #1881614295
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

PROFORM PHYSICAL THERAPY is an AHC clinic located in SMITHTOWN, NY. NPPES has assigned the NPI number 1881614295 to PROFORM PHYSICAL THERAPY on July 20, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PROFORM PHYSICAL THERAPY” is a dba name, the actual legal business name for this organization is NEW YORK PHYSICAL AND OCCUPATIONAL THERAPY PLLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QP2000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Physical Therapy

The NPI profile was previously updated about 18 years ago on Jul 30, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PROFORM PHYSICAL THERAPY below.

NPI Profile for
NEW YORK PHYSICAL AND OCCUPATIONAL THERAPY PLLC

NPI Number
1881614295
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NEW YORK PHYSICAL AND OCCUPATIONAL THERAPY PLLC
Doing Business As (dba): PROFORM PHYSICAL THERAPY
Primary location
317 MIDDLE COUNTRY ROAD
SUITE # 3
SMITHTOWN, NY 11787
Phone: (631) 361-9246 Fax: (888) 215-5091
Mailing address
569 E MAIN STREET
BAYSHORE, NY 11706-8505
Phone: (631) 665-8645 Fax: (631) 665-8646
Organization Subpart
Yes - PROFORM PHYSICAL THERAPY is subpart of another organization.
Authorized Official
IRENE DELPERCIO
OPERATIONS MANAGER
Phone: (631) 665-8645
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2000X
- Clinic/Center / Physical Therapy (Primary)
225100000X
- Physical Therapist

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.