LAKE SUCCESS PHYSICAL THERAPY P.C.
NPI 1336604222
Physical Therapist - Electrophysiology, Clinical in New Hyde Park, NY

NPI Status: Active since February 05, 2019

Contact Information

1999 MARCUS AVE STE M15
NEW HYDE PARK, NY
ZIP 11042
Phone: (516) 488-8808
Fax: (516) 488-8818

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  • Organization
  • Physical Therapist
  • Electrophysiology, Clinical
  • CLIA Number: 33D0987567
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-06-2027

About LAKE SUCCESS PHYSICAL THERAPY P.C.

This page provides the complete NPI Profile along with additional information for Lake Success Physical Therapy P.c., a provider established in New Hyde Park, New York operating as a Physical Therapist, focusing in electrophysiology, clinical . The healthcare provider is registered in the NPI registry with number 1336604222 assigned on February 2019. The practitioner's primary taxonomy code is 2251E1300X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mrs. Michelle Dragan (Business Manager)

NPI
1336604222
Provider Name
LAKE SUCCESS PHYSICAL THERAPY P.C.
Entity Type
Organization
Location Address
1999 MARCUS AVE STE M15 NEW HYDE PARK, NY 11042
Location Phone
(516) 488-8808
Location Fax
(516) 488-8818
Mailing Address
1999 MARCUS AVE STE M15 NEW HYDE PARK, NY 11042
Mailing Phone
(516) 488-8808
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-05-2019
Last Update Date
02-05-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist Electrophysiology, Clinical

Taxonomy Code
2251E1300X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Description
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Clinical Electrophysiologic Physical Therapy, who has demonstrated specialized knowledge and skill in electrophysiologic examinations and evaluations and encompasses both the professional and technical components of the observation, recording, analysis, and interpretation of bioelectric muscle and nerve potentials, detected by means of surface or needle electrodes, for the purpose of evaluating the integrity of the neuromuscular system. Electrophysiologic evaluations include, but are not limited to, electrodiagnostic testing, which includes clinical needle electromyography, motor and sensory nerve conduction studies, and other evoked potential procedures.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. MICHELLE DRAGAN

Authorized Official Title
BUSINESS MANAGER
Authorized Official Phone
(516) 488-8808

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
33D0987567
Facility Type
Physician Office
Certificate Effective Date
June 07, 2025
Certificate Expiration Date
June 06, 2027
Laboratory Director
DR. MICHELLE G. HERNANDEZ
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Lake Success Physical Therapy P.c. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1336604222, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
3
Doubled → 6
Pos 4
6
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
0
Unchanged
Pos 7
4
Doubled → 8
Pos 8
2
Unchanged
Pos 9
2
Doubled → 4
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 6 → 12 → 3 4 → 8 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 6 + 6 + 1 + 2 + 0 + 8 + 2 + 4 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1336604222.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Occupational Therapist
1999 MARCUS AVE STE M15
LAKE SUCCESS, NY 11042
Clinic/Center (Rehabilitation)
1999 MARCUS AVE STE M15
LAKE SUCCESS, NY 11042
Physical Therapist
1999 MARCUS AVE STE M15
NORTH NEW HYDE PARK, NY 11042
Occupational Therapist
1999 MARCUS AVE STE M15
NEW HYDE PARK, NY 11042
Physical Therapist
1999 MARCUS AVE STE M15
NORTH NEW HYDE PARK, NY 11042
Occupational Therapist
1999 MARCUS AVE STE M15
NEW HYDE PARK, NY 11042

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336604222, enumerated as an "organization" on February 05, 2019.

The provider is located at 1999 MARCUS AVE STE M15 NEW HYDE PARK, NY 11042 and the phone number is (516) 488-8808.

Physical Therapist with taxonomy code 2251E1300X and a focus in Electrophysiology, Clinical.