Individual provider Active NPI

Amy W Maragioglio, PT, ATC

  • Athletic Trainer
  • Coram, NY
National Provider Identifier
1003881079
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
000607-1 Issued in NY
Practice address
607 Middle Country Road
Coram, NY 11727
Phone
(631) 732-3900
Fax
(631) 732-3908
NPI assigned
Feb 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 024244-1 NY
Athletic Trainer 2255A2300X 000607-1 NY Primary

Addresses

Primary practice location

607 Middle Country Road
Coram, NY 11727

Mailing address

270 N Dunton Ave
East Patchogue, NY 11772-5545
Phone (631) 654-0561

Other identifiers 2

IdentifierTypeStateIssuer
7513738OtherAETNA PPO
1140321OtherAETNA HMO

Other names 1

  • Ms. Amy E Windrum Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040305000896 NY Practitioner - Physical Therapist in Private Practice 7719875327 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
New York Medical College, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Island Sports Physical Therapy of Coram PCGroup PAC ID 6406747526, 5 clinicians

Practice addresses (Care Compare)

607 Middle Country Rd
Unit B
Coram, NY 11727-3362
Phone (631) 732-3900

Merit-based Incentive Payment System (MIPS)

Final score
77.35 of 100Reported as group
Quality
73.31
Improvement activities
40
Cost
73.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
024244-1NYMDPhysical Therapist
000607-1NYMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Island Sports Physical Therapy of Coram PC Physical Therapist CurrentSince Apr 19, 2017 Accepting new patients
Michele Rauer Physical Therapy Assistant, P.C. Physical Therapist CurrentSince May 2, 2022 Accepting new patients
Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC Physical Therapist CurrentSince Nov 4, 2022 Accepting new patients
CRS Homebased Physical Therapy, P.C. Physical Therapist PastSince Jun 5, 2004 Accepting new patients

Locations

4080 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 738-4844

607 Middle Country Rd
Unit B
Coram, NY 11727
Phone (516) 732-3900

607 Middle Country Rd
Coram, NY 11727
Phone (516) 732-3900

672 S Country Rd
East Patchogue, NY 11772
Phone (631) 654-5282

800 E Gate Blvd
Garden City, NY 11530

50 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 200-3545

11701 84th Ave
Richmond Hill, NY 11418
Phone (718) 441-0300

1312 Middle Country Rd
Selden, NY 11784
Phone (631) 698-6556

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1003881079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 N DUNTON AVE",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117725545",
            "telephone_number": "631-654-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 MIDDLE COUNTRY ROAD",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "11727",
            "telephone_number": "631-732-3900",
            "fax_number": "631-732-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARAGIOGLIO",
        "first_name": "AMY",
        "middle_name": "W",
        "name_prefix": "Mrs.",
        "credential": "PT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "024244-1",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "000607-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7513738",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "1140321",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "WINDRUM",
            "middle_name": "E",
            "prefix": "MS.",
            "credential": "PT, ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coram, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.