Active NPI
Marathon Physical Therapy
- Physical Therapist
- Great Neck, NY
National Provider Identifier
1235285271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Perry Bonomo
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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 DirectoryLocations
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.
-
- Physical Therapist
- New Milford, NJ
- NPI 1174536320
-
- Physical Therapist
- Great Neck, NY
- NPI 1275856940
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.