Individual provider Active NPI

Steven Anthony Venegas, DPT

  • Orthopedic Physical Therapist
  • Garden City, NY
National Provider Identifier
1336650209
Registry record updated Oct 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
033525 Issued in NY
Practice address
1325 Franklin Ave
Lower Level Suite 105
Garden City, NY 11530
Phone
(516) 280-8811
NPI assigned
Oct 19, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X 033525 NY
Orthopedic Physical Therapist 2251X0800X 033525 NY Primary

Addresses

Primary practice location

1325 Franklin Ave
Lower Level Suite 105
Garden City, NY 11530

Mailing address

7311 4TH Ave Apt B1
Brooklyn, NY 11209-2534
Phone (516) 244-3443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171113000449 NY Practitioner - Physical Therapist in Private Practice 8123384955 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth and Fitness PT OT PLLC Sports CurrentSince Sep 15, 2020 Accepting new patients
Core Physical Therapy Services PC Sports CurrentSince Jun 1, 2021 Accepting new patients
Elite Performance Physical Therapy PC CurrentSince Nov 1, 2017 Accepting new patients
Prohealth and Fitness PT OT PLLC CurrentSince Sep 15, 2020 Accepting new patients
Liht Occupational Therapy PC PastSince Mar 1, 2007 Accepting new patients

Locations

2003 Coney Island Ave
Brooklyn, NY 11223
Phone (347) 394-1600

1325 Franklin Ave
Ste LL105
Garden City, NY 11530
Phone (516) 280-8811

1325 Franklin Ave
Ste 105
Garden City, NY 11530
Phone (516) 280-8811

150 W End Ave
Apt 1M
New York, NY 10023
Phone (212) 496-2600

Organizations & group practices 5

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": "1508371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508371200000",
    "number": "1336650209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7311 4TH AVE APT B1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092534",
            "telephone_number": "516-244-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 FRANKLIN AVE",
            "address_2": "LOWER LEVEL SUITE 105",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "11530",
            "telephone_number": "516-280-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENEGAS",
        "first_name": "STEVEN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-19",
        "last_updated": "2017-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NY",
            "license": "033525",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "033525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.