Steven Acquavita, DPT
Individual provider Active NPI Physical Therapist · North Babylon, NY
NPI 1003273376 · NPPES record last updated Jan 18, 2016
Key facts
- NPI
- 1003273376
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 039624 (NY)
- Practice address
- 46 Hughes LN
North Babylon, NY 11703-3513 - Phone
- (631) 379-3441
- NPI assigned
- Jan 18, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Island Sports Physical Therapy of Smithtown, P.C.
Practice addresses (Care Compare)
176 Smithtown Blvd
Nesconset, NY 11767-1859
Phone (631) 979-5900
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251022003600 | NY | Practitioner - Physical Therapist in Private Practice | 3173011053 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039624 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Island Sports Physical Therapy of Smithtown, P.C. | Current |
Accepting new patients |
Locations
176 Smithtown Blvd
Nesconset, NY 11767
Phone (631) 212-1822
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 039624 | NY | Yes |
Addresses
Primary practice location
46 Hughes LN
North Babylon, NY 11703-3513
Mailing address
46 Hughes LN
North Babylon, NY 11703-3513
Phone (631) 379-3441
Other providers in North Babylon, NY
- A Cipolla Medical Services PC
- Anthony Abbruscato
- Omer Faruk Aci
- Mahmood Afghani
- James Anthony Aguirri
- Kenrick Alfred
- Paige Allison
- Alpine RX Inc.
All providers in North Babylon, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.