Active NPI
Gregg W. Diprima II, P.T.
- Physical Therapist
- Centereach, NY
National Provider Identifier
1295778322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 020468-1
- Practice address
- 2100 Middle Country Rd
Centereach, NY 11720 - Phone
- (631) 580-2526
- Fax
- (631) 580-2530
- NPI assigned
- Jun 14, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 020468-1 | NY | Primary |
Addresses
Primary practice location
2100 Middle Country Rd
Centereach, NY 11720
Mailing address
41 Montrose Drive
Commack, NY 11725
Phone (631) 864-4230
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020468-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1295778322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 MONTROSE DRIVE",
"city": "COMMACK",
"state": "NY",
"postal_code": "11725",
"telephone_number": "631-864-4230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 MIDDLE COUNTRY RD",
"city": "CENTEREACH",
"state": "NY",
"postal_code": "11720",
"telephone_number": "631-580-2526",
"fax_number": "631-580-2530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIPRIMA",
"first_name": "GREGG",
"middle_name": "W.",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "020468-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centereach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.