Provider Demographics
NPI:1184226128
Name:L.I. CARE PHYSICAL THERAPY AND OCCUPATIONAL THERAPY, PLLC
Entity Type:Organization
Organization Name:L.I. CARE PHYSICAL THERAPY AND OCCUPATIONAL THERAPY, PLLC
Other - Org Name:OYSTERBAY PHYSICAL THERAPY PC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MITESHKUMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:516-946-2503
Mailing Address - Street 1:19 SANDY HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-3006
Mailing Address - Country:US
Mailing Address - Phone:516-946-2503
Mailing Address - Fax:
Practice Address - Street 1:1842 E JERICHO TPKE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-5796
Practice Address - Country:US
Practice Address - Phone:631-486-7900
Practice Address - Fax:631-486-2973
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-13
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty