Individual provider Active NPI

Steven Acquavita, DPT

  • Physical Therapist
  • North Babylon, NY
National Provider Identifier
1003273376
Registry record updated Jan 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
039624 Issued in NY
Practice address
46 Hughes LN
North Babylon, NY 11703-3513
Phone
(631) 379-3441
NPI assigned
Jan 18, 2016
Last updated
Jan 18, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 039624 NY Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251022003600 NY Practitioner - Physical Therapist in Private Practice 3173011053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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.Group PAC ID 8325938319, 5 clinicians

Practice addresses (Care Compare)

176 Smithtown Blvd
Nesconset, NY 11767-1859
Phone (631) 979-5900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
039624NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Island Sports Physical Therapy of Smithtown, P.C. CurrentSince Sep 1, 2025 Accepting new patients

Locations

176 Smithtown Blvd
Nesconset, NY 11767
Phone (631) 212-1822

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453075200000",
    "number": "1003273376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 HUGHES LN",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117033513",
            "telephone_number": "631-379-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 HUGHES LN",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117033513",
            "telephone_number": "631-379-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACQUAVITA",
        "first_name": "STEVEN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-18",
        "last_updated": "2016-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "039624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.