Organization Active NPI

Marathon Physical Therapy

  • Physical Therapist
  • Great Neck, NY
National Provider Identifier
1235285271
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MARATHON PHYSICAL THERAPY
Practice address
330 Great Neck Rd
Great Neck, NY 11021-4227
Phone
(516) 487-9810
Fax
(516) 773-7315
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Authorized official

Name
Perry BonomoNPI 1174536320
Title
Physical Therapist
Phone
(516) 487-9810

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

330 Great Neck Rd
Great Neck, NY 11021-4227

Mailing address

330 Great Neck Rd
Great Neck, NY 11021-4227
Phone (516) 487-9810

National Provider Directory

National Provider Directory

Locations

330 Great Neck Rd
Great Neck, NY 11021
Phone (516) 487-9801

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1235285271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 GREAT NECK RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214227",
            "telephone_number": "516-487-9810",
            "fax_number": "516-773-7315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 GREAT NECK RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214227",
            "telephone_number": "516-487-9810",
            "fax_number": "516-773-7315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARATHON PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "BONOMO",
        "authorized_official_first_name": "PERRY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "516-487-9810"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.