Organization Active NPI

Willemen Physical Therapy PC

Doing business as progressive physical therapy & rehabilitation

  • Physical Therapist
  • Greenlawn, NY
National Provider Identifier
1376618587
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
WILLEMEN PHYSICAL THERAPY PC
Doing business as
progressive physical therapy & rehabilitation
Practice address
266 East Pulaski Rd
Suite 3
Greenlawn, NY 11740-1601
Phone
(631) 673-4600
Fax
(631) 673-4621
NPI assigned
Nov 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Authorized official

Name
Mr. Michael G. Rosati, P.T.NPI 1831297332
Title
Owner
Phone
(631) 673-4600

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

266 East Pulaski Rd
Suite 3
Greenlawn, NY 11740-1601

Mailing address

266 Pulaski Rd Ste 3
Greenlawn, NY 11740-1603
Phone (631) 673-4600

Other identifiers 2

IdentifierTypeStateIssuer
ANC1491OtherNYOXFORD
34101OtherNYCIGNA

Other names 1

  • progressive physical therapy & rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040320000159 NY Part B Supplier - Clinic/Group Practice 6709777832 Receives reassigned benefits from 1 practitioner
Practice locations: Greenlawn, NY

National Provider Directory

National Provider Directory

Locations

266 Pulaski Rd
Ste 3
Greenlawn, NY 11740
Phone (631) 673-4600

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1376618587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 PULASKI RD STE 3",
            "city": "GREENLAWN",
            "state": "NY",
            "postal_code": "117401603",
            "telephone_number": "631-673-4600",
            "fax_number": "631-673-4621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 EAST PULASKI RD",
            "address_2": "SUITE 3",
            "city": "GREENLAWN",
            "state": "NY",
            "postal_code": "117401601",
            "telephone_number": "631-673-4600",
            "fax_number": "631-673-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLEMEN PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "ROSATI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-673-4600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "ANC1491",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "34101",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "progressive physical therapy & rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenlawn, NY

Sources for this page

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