Individual provider Active NPI

Joseph Mathew Senatore, DPT

  • Physical Therapist
  • Wantagh, NY
National Provider Identifier
1285219410
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
046697 Issued in NY
Practice address
747 Wantagh Ave
Wantagh, NY 11793-2133
Phone
(516) 628-7700
Fax
(516) 279-1373
NPI assigned
Mar 9, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 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 046697 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
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
046697NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Vestibular Physical Therapy, PLLC Physical Therapist CurrentSince Feb 19, 2023 Accepting new patients
Frank Zic, DPT, PT, PLLC Physical Therapist CurrentSince Feb 19, 2023 Accepting new patients
Promet Physical Therapy, PC Physical Therapist PastSince Mar 1, 2021 Accepting new patients
Promet Physical Therapy PC Physical Therapist PastSince Mar 1, 2021 Accepting new patients

Locations

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

Organizations & group practices 4

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": "1615248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1285219410",
    "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": "SENATORE",
        "first_name": "JOSEPH",
        "middle_name": "MATHEW",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-09",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "046697",
            "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 Feb 17, 2023; 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.