NPIMap

Organization Active NPI

Physiologic Physical Therapy PC

  • Physical Therapist
  • Great Neck, NY
National Provider Identifier
1356325799
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0084451 Issued in NY
Legal business name
PHYSIOLOGIC PHYSICAL THERAPY PC
Practice address
98 Cuttermill Rd
#100
Great Neck, NY 11021
Phone
(516) 466-4118
Fax
(516) 466-2856
NPI assigned
Nov 30, 2005
Last updated
May 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Authorized official

Name
Stephen C Hofmayer, MSPTNPI 1184606220
Title
President/Ceo
Phone
(516) 466-4118

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0084451 NY Primary

Addresses

Primary practice location

98 Cuttermill Rd
#100
Great Neck, NY 11021

Mailing address

98 Cuttermill Rd
#100
Great Neck, NY 11021
Phone (516) 466-4118

Other practice location 1

1044 Northern Blvd Ste 101
Roslyn, NY 11576-1507
Phone (516) 484-2562

Other identifiers 4

IdentifierTypeStateIssuer
660637OtherNYGHI
Q66251OtherBCBS
A200697OtherMDNY
ANC1007OtherNYOXFORD

Other names 1

  • Donna J Croce PT PC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040429001572 NY Part B Supplier - Clinic/Group Practice 7719974781 Receives reassigned benefits from 11 practitioners
Practice locations: Great Neck, NY; Roslyn, NY

National Provider Directory

National Provider Directory

Locations

98 Cuttermill Rd
Ste 100
Great Neck, NY 11021
Phone (516) 466-4118

1044 Northern Blvd
Ste 101
Roslyn, NY 11576
Phone (516) 484-2562

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1356325799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 CUTTERMILL RD",
            "address_2": "#100",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "11021",
            "telephone_number": "516-466-4118",
            "fax_number": "516-466-2856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 CUTTERMILL RD",
            "address_2": "#100",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "11021",
            "telephone_number": "516-466-4118",
            "fax_number": "516-466-2856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1044 Northern Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Roslyn",
            "state": "NY",
            "postal_code": "115761507",
            "country_code": "US",
            "telephone_number": "516-484-2562",
            "fax_number": "516-484-5314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHYSIOLOGIC PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "HOFMAYER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "516-466-4118",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0084451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "660637",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Q66251",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDNY",
            "identifier": "A200697",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "ANC1007",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Donna J Croce PT PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.