Individual provider Active NPI

Ann Marie Hennessy, PTA

  • Physical Therapy Assistant
  • New York, NY
National Provider Identifier
1235985391
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
014210-01 Issued in NY
Practice address
226 E 54TH St Ste 501
New York, NY 10022-4854
Phone
(917) 848-3594
NPI assigned
Apr 29, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 014210-01 NY Primary

Addresses

Primary practice location

226 E 54TH St Ste 501
New York, NY 10022-4854

Mailing address

3215 30TH St Apt B45
Astoria, NY 11106-2978
Phone (917) 848-3594

Other practice location 1

2936 30th Ave
Astoria, NY 11102-2251
Phone (917) 848-3594

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
014210-01NYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hennessy Pta PLLC Physical Therapy Assistant CurrentSince Nov 9, 2025 Accepting new patients

Locations

226 E 54th St
Ste 501
New York, NY 10022
Phone (212) 308-2990

Organizations & group practices 1

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": "1714348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1235985391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 30TH ST APT B45",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111062978",
            "telephone_number": "917-848-3594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 E 54TH ST STE 501",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224854",
            "telephone_number": "917-848-3594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2936 30th Ave",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "NY",
            "postal_code": "111022251",
            "country_code": "US",
            "telephone_number": "917-848-3594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENNESSY",
        "first_name": "ANN MARIE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "014210-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.