Provider Demographics
NPI:1023125432
Name:S.E.A.P.T., LLP
Entity type:Organization
Organization Name:S.E.A.P.T., LLP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PARTNER/DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DARREN
Authorized Official - Middle Name:J
Authorized Official - Last Name:WEIDENMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT, MA
Authorized Official - Phone:631-425-5900
Mailing Address - Street 1:713 WALT WHITMAN RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-2202
Mailing Address - Country:US
Mailing Address - Phone:631-425-5900
Mailing Address - Fax:631-424-9850
Practice Address - Street 1:713 WALT WHITMAN RD
Practice Address - Street 2:SUITE B
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-2202
Practice Address - Country:US
Practice Address - Phone:631-425-5900
Practice Address - Fax:631-424-9850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-23
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ7WLJ1Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER