INNOVATIVE PHYSICAL THERAPY OF LONG ISLAND P.C.
NPI 1861985665
Clinic/Center - Physical Therapy in Mineola, NY

Active since June 07, 2018
193 JERICHO TPKE, MINEOLA, NY 11501(516) 747-2323(516) 747-2305 Get Directions Write a Review

NPPES record last updated: June 7, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Innovative Physical Therapy Of Long Island P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNOVATIVE PHYSICAL THERAPY OF LONG ISLAND P.C. (NPI 1861985665) is a healthcare organization registered as a physical therapy in Mineola, New York and active in the NPI registry since June 2018. The organization lists Yaniv Raich, Owner, Pt, as its authorized official.

NPPES Registry Identity

NPI1861985665
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameINNOVATIVE PHYSICAL THERAPY OF LONG ISLAND P.C.
Location Address193 JERICHO TPKEMineola, NY 11501-1702
Mailing Address193 Jericho TpkeMineola, NY 11501-1702 · (516) 747-2323 · Fax (516) 747-2305
Fax(516) 747-2305
Organization SubpartNo
Authorized OfficialYaniv RaichOwner, Pt · (516) 747-2323
Enumeration DateJune 7, 2018
✔ NPI 1861985665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
License✔ Licensed in NY · 031561
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
193 JERICHO TPKE, Mineola, NY 11501

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Innovative Physical Therapy Of Long Island P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Innovative Physical Therapy Of Long Island P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1356625305
193 JERICHO TPKE
Mineola, NY 11501
(516) 747-2323
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Innovative Physical Therapy Of Long Island P.C.'s NPI number?

The NPI number for Innovative Physical Therapy Of Long Island P.C. is 1861985665. It was assigned to this organization in the NPPES registry on June 7, 2018.

Where is Innovative Physical Therapy Of Long Island P.C. located?

Innovative Physical Therapy Of Long Island P.C. is located at 193 Jericho Tpke, Mineola, NY 11501. The listed phone number is (516) 747-2323.

What is Innovative Physical Therapy Of Long Island P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Innovative Physical Therapy Of Long Island P.C. enrolled in Medicare?

Yes. Innovative Physical Therapy Of Long Island P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Innovative Physical Therapy Of Long Island P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Innovative Physical Therapy Of Long Island P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Innovative Physical Therapy Of Long Island P.C. was last updated on June 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.