Individual provider Active NPI

Anthony Santa-Maria, PT

  • Physical Therapist
  • Huntington, NY
National Provider Identifier
1043963937
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
018024-01 Issued in NY
Practice address
775 Park Ave
Huntington, NY 11743-3976
Phone
(631) 396-1595
NPI assigned
Jan 31, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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 018024-01 NY Primary

Addresses

Primary practice location

775 Park Ave
Huntington, NY 11743-3976

Mailing address

57 Cedar Dr
Huntington, NY 11743-7101
Phone (516) 848-5942

Other practice location 1

292A Herricks Rd
Mineola, NY 11501-1103
Phone (516) 877-0011

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240207000296 NY Practitioner - Physical Therapist in Private Practice 3779926779 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Pro Performance Physical Therapy and Wellness, PLLCGroup PAC ID 9830263631, 2 clinicians
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

70 Glen St
Suite 380
Glen Cove, NY 11542-2858
Phone (516) 277-1153

775 Park Ave
Huntington, NY 11743-3976
Phone (631) 396-1595

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
018024-01NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Dec 2, 2024 Accepting new patients
Garden City Physical Medicine and Rehabilitation, PC CurrentSince Feb 1, 2022 Accepting new patients
Fox Rehabilitation Physical Therapy Services LLC Physical Therapist CurrentSince Dec 1, 2024 Accepting new patients
Pro Performance Physical Therapy and Wellness, PLLC CurrentSince Feb 14, 2024 Accepting new patients
Montefiore Medical Center CurrentSince Dec 2, 2024 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

70 Glen St
Ste 380
Glen Cove, NY 11542
Phone (516) 277-1153

775 Park Ave
Huntington, NY 11743
Phone (631) 396-1595

292A Herricks Rd
Mineola, NY 11501
Phone (516) 877-0011

1415 Richmond Ave
Staten Island, NY 10314
Phone (212) 475-5540

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Organizations & group practices 5

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": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1043963937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 CEDAR DR",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117437101",
            "telephone_number": "516-848-5942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 PARK AVE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433976",
            "telephone_number": "631-396-1595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "292A Herricks Rd",
            "address_purpose": "LOCATION",
            "city": "Mineola",
            "state": "NY",
            "postal_code": "115011103",
            "country_code": "US",
            "telephone_number": "516-877-0011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTA-MARIA",
        "first_name": "ANTHONY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-31",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "018024-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.