Anthony Fuentes, DPT
Individual provider Active NPI Physical Therapist · East Quogue, NY
NPI 1326544693 · NPPES record last updated Jun 21, 2023
Key facts
- NPI
- 1326544693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 4 Eisenhower Dr
East Quogue, NY 11942-4730 - Phone
- (617) 319-6367
- NPI assigned
- Apr 4, 2018
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- State University of New York at Stony Brook, School of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Seth Greiner PT PLLC
Practice addresses (Care Compare)
170 Montauk Hwy
Speonk, NY 11972
Phone (631) 596-5096
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230929000179 | NY | Practitioner - Physical Therapist in Private Practice | 3173977873 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 050718 | NY | MD | Pharmacist |
| P09803 | NY | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seth Greiner PT PLLC | Physical Therapist | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | P09803 | NY | |
| Physical Therapist | 225100000X | NY | Yes |
Addresses
Primary practice location
4 Eisenhower Dr
East Quogue, NY 11942-4730
Mailing address
107 Auborn Ave
Shirley, NY 11967-1739
Phone (631) 741-8947
Other practice location 1
240 Meeting House Ln
Southampton, NY 11968-5009
Phone (631) 726-8200
Other providers in East Quogue, NY
- Camille Lisa Dyer
- East Quogue Fire District
- East Quogue Ufsd
- Concepcion Fajardo
- Diana Feinberg
- Diana Fuzailov
- Gregory Mark Gale
- Carol Marie Giglio
- Joseph Giglio
- Marylin Gilks
All providers in East Quogue, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.