Individual provider Active NPI

Daniella Leone, PT, DPT

  • Physical Therapist
  • Wantagh, NY
National Provider Identifier
1104525484
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
026195-01 Issued in NY
Practice address
747 Wantagh Ave
Wantagh, NY 11793-2133
Phone
(516) 628-7700
Fax
(516) 279-1373
NPI assigned
Feb 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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 026195-01 NY Primary

Addresses

Primary practice location

747 Wantagh Ave
Wantagh, NY 11793-2133

Mailing address

747 Wantagh Ave
Wantagh, NY 11793-2133
Phone (516) 628-7700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230517001044 NY Practitioner - Physical Therapist in Private Practice 0749646727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Long Island Vestibular Physical Therapy, PLLCGroup PAC ID 5799141768, 3 clinicians

Practice addresses (Care Compare)

747 Wantagh Ave
Wantagh, NY 11793-2133
Phone (516) 628-7700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
026195-01NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Vestibular Physical Therapy, PLLC Physical Therapist CurrentSince Apr 1, 2023 Accepting new patients
Frank Zic, DPT, PT, PLLC Physical Therapist CurrentSince Mar 5, 2023 Accepting new patients

Locations

747 Wantagh Ave
Wantagh, NY 11793
Phone (516) 628-7700

Organizations & group practices 2

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": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1104525484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 WANTAGH AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117932133",
            "telephone_number": "516-628-7700",
            "fax_number": "516-279-1373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 WANTAGH AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117932133",
            "telephone_number": "516-628-7700",
            "fax_number": "516-279-1373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONE",
        "first_name": "DANIELLA",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "026195-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wantagh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.