MR. MATTHEW MADDALENA KAVANAUGH (NPI# 1003958174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003958174 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW MADDALENA KAVANAUGH |
| Credential | PT |
| Practice Address |
333 Route 25a Suite 240 Rocky Point NY 11778-8556 |
| Mailing Address |
22 Soundview Dr Shoreham NY 11786-1154 |
| Practice Telephone | 6318215500 |
| Practice Fax Number | 6318215580 |
| Mailing Telephone | 6318215500 |
| Mailing Fax Number | 6318215580 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 022895 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
333 ROUTE 25A SUITE 240 |
| City | ROCKY POINT |
| State | NY |
| Zip Code | 11778-8556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952387276 | Long Island Anesthesia Physicians LLP | Anesthesiology | 333 Route 25a, Suite 225, Rocky Point, NY 11778 | 2005-12-19 |
| 1720452758 | Gina L Schiavone | Anesthesiology | 333 Route 25a, Suite 225, Rocky Point, NY 11778-8556 | 2015-11-13 |
| 1659755536 | Colleen Erbis | Nurse Anesthetist, Certified Registered | 333 Route 25a, Rocky Point, NY 11778-8556 | 2015-07-10 |
| 1245613801 | Haldana Histand | Anesthesiology | 333 Route 25a, Rocky Point, NY 11778-8556 | 2015-07-01 |
| 1538571799 | Jerry Jacob | Anesthesiology | 333 Route 25a, Suite 225, Rocky Point, NY 11778-8556 | 2014-05-22 |
| 1942568068 | Kevin Brian Lee | Anesthesiology | 333 Route 25a, Suite 225, Rocky Point, NY 11778-8556 | 2012-04-26 |
| 1437417672 | Brian Seho Cho | Anesthesiology | 333 Route 25a, Suite 225, Rocky Point, NY 11778-8556 | 2012-04-25 |
| 1437468865 | Michael V Lampasona | Nurse Anesthetist, Certified Registered | 333 Route 25a, Suite 225, Rocky Point, NY 11778-8802 | 2010-10-04 |
| 1942440250 | Susan Marie Draper | Registered Nurse | 333 Route 25a, Suite 225, Rocky Point, NY 11778-8802 | 2009-02-26 |
| 1861523946 | Christina Marie Hendershot | Specialist | 333 Route 25a, Rocky Point, NY 11778-8556 | 2007-03-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093351819 | Richard John Pisacone | Physical Therapist | 745 Ny-25a, Rocky Point, NY 11778 | 2019-11-27 |
| 1609417492 | Essential Points Acupuncture | Acupuncturist | 170 25a, Rocky Point, NY 11778 | 2019-10-02 |
| 1891209888 | Behavioral Health Associates, Lcsw PC | Social Worker | 131 Rt. 25a, Suite 4, Rocky Point, NY 11778 | 2017-11-29 |
| 1477096543 | Ksusha Cascio | Social Worker | 38 Tarpon Rd, Rocky Point, NY 11778 | 2016-11-22 |
| 1134675721 | Dawn Kl Casper | Licensed Practical Nurse | 19 Soundway Drive, Rocky Point, NY 11778 | 2016-09-01 |
| 1316312911 | Anita Neogi Biswas | Nurse Practitioner | 745 Route 25a Ste A, Rocky Point, NY 11778 | 2015-12-08 |
| 1700228848 | Nanette Cohen | Specialist | 1363 Veterens Hywy, Hauppauge, NY 11778 | 2013-07-17 |
| 1487990131 | Kimberly Cher Coberg | Licensed Practical Nurse | 17 Grove Rd., Rocky Point, NY 11778 | 2012-12-28 |
| 1306108766 | Catherinemckeontureski | Local Education Agency (LEA) | 122 Hallocklanding Rd, Rocky Point, NY 11778 | 2012-06-12 |
| 1508135278 | Karen J Lukasz | Registered Nurse | 76 Rocky Point Yaphank Rd., Rocky Point, NY 11778 | 2011-12-23 |
| Find all providers in zip 11778 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093351819 | Richard John Pisacone | Physical Therapist | 745 Ny-25a, Rocky Point, NY 11778 | 2019-11-27 |
| 1104331024 | Carolyn Michelitsch | Physical Therapist | 127 Rocky Point Landing Rd, Rocky Point, NY 11778-9106 | 2017-12-14 |
| 1780805440 | Michele Lynn Gilardi | Physical Therapist | 532 Route 25a, Rocky Point, NY 11778 | 2007-05-01 |
| 1942424379 | Maryjo Kaleda | Physical Therapist | 3 Vine Rd, Rocky Point, NY 11778-8922 | 2007-04-13 |
| 1275659252 | Talisa Bannerman-lee | Physical Therapist | 7864 Us Highway 117 S, Rocky Point, NC 28457-9458 | 2007-03-22 |
| 1811305998 | Marcus Bair | Physical Therapist | 7910 Us Hwy 117 S, Unit 120, Rocky Point, NC 28457-9431 | 2014-08-01 |
| 1063713204 | Carolina Healthcare Associates Inc | Physical Therapist | 7910 Us Hwy 117 S, Unit 120, Rocky Point, NC 28457-9431 | 2010-11-04 |
| 1114124161 | Choice Spine Joint & Neurology,pc | Physical Therapist | 799 Route 25a, Rocky Point, NY 11778-8564 | 2007-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689425 | Maitry Damanwala | Physical Therapist | 774 Manor Rd Ste 210, Staten Island, NY 10314-7000 | 2020-11-08 |
| 1760083687 | Charles J Saxe | Physical Therapist | 338 Route 212 Ste 3, Saugerties, NY 12477-5110 | 2020-11-06 |
| 1396346441 | Joseph M Angello | Physical Therapist | 205 Crystal Creek Dr, Rochester, NY 14612-6002 | 2020-11-05 |
| 1093316242 | Steinway Physical Therapy | Physical Therapist | 2549 Steinway St, Astoria, NY 11103-4991 | 2020-11-04 |
| 1255932760 | Carley Ann-marie Johnston | Physical Therapist | 7309 Seneca Rd N Ste 108, Hornell, NY 14843-9691 | 2020-11-03 |
| 1952902330 | Ellory Marie Roberts | Physical Therapist | 3065 Southwestern Blvd Ste. 108, Orchard Park Progressive Physical Therapy At Parkland P, Orchard Park, NY 14127 | 2020-11-03 |
| 1528669173 | Greenland Physical Therapy PC | Physical Therapist | 769 58th St Ste 1, Brooklyn, NY 11220-5180 | 2020-11-02 |
| 1891396321 | Victoria Lucile Schreiner | Physical Therapist | 10614 Versailles Plank Rd, North Collins, NY 14111-9764 | 2020-11-02 |
| 1700486362 | Hamdi Darouich | Physical Therapist | 180 Greenleaf Ave, Staten Island, NY 10310-2640 | 2020-10-31 |
| 1013517788 | Nathaniel Mark Mailloux | Physical Therapist | 65 Belmont Ave, West Babylon, NY 11704-6435 | 2020-10-30 |
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| City | ROCKY POINT |
| Zip Code | 11778 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.