SOUTH SHORE PEDIATRIC PHYSICAL THERAPY (NPI# 1013461847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013461847 |
| Entity Type | Organization |
| Organization Name | SOUTH SHORE PEDIATRIC PHYSICAL THERAPY |
| Practice Address |
2415 Jerusalem Ave North Bellmore NY 11710-1870 |
| Mailing Address |
86 Melrose Ave Lynbrook NY 11563-3703 |
| Practice Telephone | 5167855257 |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2016-08-10 |
| Authorized Official Name | NICOLE VITO (SERVICE COORDINATOR) |
| Authorized Official Telephone | 5169460547 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| Street Address |
2415 JERUSALEM AVE |
| City | NORTH BELLMORE |
| State | NY |
| Zip Code | 11710-1870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164406591 | Theodora G Sklover | Psychologist | 2415 Jerusalem Ave, North Bellmore, NY 11710-1870 | 2005-11-30 |
| 1114308459 | M. Renda, Rd, Cdn | Clinic/Center | 2415 Jerusalem Ave, Suite 106, North Bellmore, NY 11710-1870 | 2015-06-12 |
| 1639517923 | Kathleen Spiess | Case Manager/Care Coordinator | 2415 Jerusalem Ave, Suite 106, North Bellmore, NY 11710-1870 | 2013-06-07 |
| 1467899369 | Laura Fox | Case Manager/Care Coordinator | 2415 Jerusalem Ave, Suite 106, North Bellmore, NY 11710-1870 | 2013-05-31 |
| 1255671897 | Dena Angone | Counselor | 2415 Jerusalem Ave, Suite 100, North Bellmore, NY 11710-1870 | 2013-02-19 |
| 1376778092 | Stephanie Carlucci | Pediatrics | 2415 Jerusalem Ave, 204, North Bellmore, NY 11710-1870 | 2009-05-26 |
| 1942455480 | School Street Anesthesia, PC | Anesthesiology | 2415 Jerusalem Ave, Suite 100, North Bellmore, NY 11710-1870 | 2008-11-25 |
| 1376791228 | Laura Masciarelli | Physical Therapist | 2415 Jerusalem Ave, Suite 106, North Bellmore, NY 11710-1870 | 2008-09-04 |
| 1558538116 | Gerald Joseph Bowen | Social Worker | 2415 Jerusalem Ave, Suite 105, North Bellmore, NY 11710-1870 | 2008-05-13 |
| 1720288038 | Howard Honigsfeld | Social Worker | 2415 Jerusalem Ave, Suite 107, North Bellmore, NY 11710-1870 | 2007-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437705761 | Marina Argueta | Behavioral Analyst | 2631 Merrick Road Suite 302, Bellmore, NY 11710 | 2019-08-13 |
| 1306328760 | Stephen John Harding | Behavioral Analyst | 2631 Merrick Rd Suite 302, Bellmore, NY 11710 | 2018-09-02 |
| 1700363314 | Joan Iannotta | Behavioral Analyst | 2459 Lefferts Pl, Bellmore, NY 11710 | 2018-07-26 |
| 1679059554 | Tara Ann Donlon | Counselor | 8 Whitman Ave, Bellmore, NY 11710 | 2018-07-13 |
| 1730676511 | Tanya Spitznagel | Physical Therapy Assistant | 2665 Natta Blvd, Bellmore, NY 11710 | 2018-04-17 |
| 1992208193 | Casey A Faulkner | Art Therapist | 2734 Judith Drive, Bellmore, NY 11710 | 2018-03-14 |
| 1922500479 | Yin Lin | Psychologist | 2595 Interstate Dr Suite 103, Harrisburg, PA 11710 | 2018-03-01 |
| 1992203756 | Sheryl Ackerman | Specialist/Technologist, Other | 2465 Shelly Court, Bellmore, NY 11710 | 2018-01-26 |
| 1578082491 | Toyin Olorunnishola | Behavioral Analyst | A and J Behavioral Health, Inc, Suite 302, Bellmore, Ny, NY 11710 | 2017-09-12 |
| 1346779782 | Official Bbl Pillow | Durable Medical Equipment & Medical Supplies | 2881 Bellmore Ave, Bellmore, NY 11710 | 2017-06-08 |
| Find all providers in zip 11710 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366734 | Naurin Shaki | Case Management | 108 Bryant Ave, New Hyde Park, NY 11040 | 2020-11-04 |
| 1609475433 | Cynthia Hornig | Case Management | 14 E 90th St Apt 2e, New York, NY 10128-0671 | 2020-10-22 |
| 1134726102 | Entrusted Care Inc. | Case Management | 207 E 91st St Apt 3c, Brooklyn, NY 11212-1320 | 2020-10-02 |
| 1770199986 | Collaborative for Better Urban Health, LLC | Case Management | 15 West 139th Street, Apt. 3h, New York, NY 10037 | 2020-09-22 |
| 1083223416 | Mari-lee L Van Scoter | Case Management | 32 Queens Way Apt 1, Camillus, NY 13031-1732 | 2020-07-31 |
| 1811515679 | Rimisac Family Health Np PC | Case Management | 120 Benchley Pl Frnt 1, Bronx, NY 10475-3402 | 2020-07-08 |
| 1891311965 | The Rural Outreach Center, Inc. | Case Management | 730 Olean Rd, East Aurora, NY 14052-9781 | 2020-06-24 |
| 1053932632 | First Choice Childrens Services | Case Management | 14 David Way, East Patchogue, NY 11772-4598 | 2020-05-05 |
| 1457971731 | Dariohealth Corp. | Case Management | 57 W 42nd St Fl 8, New York, NY 10036-8004 | 2020-04-16 |
| 1295361467 | C Yes Care | Case Management | 12 Stuart Dr, Coram, NY 11727-1914 | 2020-03-19 |
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| City | NORTH BELLMORE |
| Zip Code | 11710 |
Please comment or provide details below to improve the information on SOUTH SHORE PEDIATRIC PHYSICAL THERAPY.
| 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.