Individual provider Active NPI

Joseph Cannisi, DPT, ATC

  • Physical Therapist
  • East Meadow, NY
National Provider Identifier
1376928523
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0395241 Issued in NY
Practice address
1940 Hempstead Tpke
East Meadow, NY 11554-1712
Phone
(516) 359-8572
NPI assigned
Jul 29, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0395241 NY Primary
Physical Therapist 225100000X 8262 SC

Addresses

Primary practice location

1940 Hempstead Tpke
East Meadow, NY 11554-1712

Mailing address

1940 Hempstead Tpke
East Meadow, NY 11554-1712
Phone (516) 359-8572

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180517001137 NY Practitioner - Physical Therapist in Private Practice 1153686373 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
State University of New York at Stony Brook, School of Medicine, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Syosset Physical Therapy and Athletic Training PLLCGroup PAC ID 7113282005, 10 clinicians

Practice addresses (Care Compare)

2339 Hempstead Tpke
East Meadow, NY 11554-2038
Phone (516) 622-9797

Merit-based Incentive Payment System (MIPS)

Final score
93.75 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8262SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bienetre Medical PC Physical Therapist CurrentSince Jul 6, 2025 Accepting new patients
Raymond N Cecora PT PC Physical Therapist CurrentSince May 20, 2018 Accepting new patients
Syosset Physical Therapy and Athletic Training PLLC Physical Therapist CurrentSince Sep 1, 2018 Accepting new patients
Elevate Physical Therapy and Rehabilitation PC Physical Therapist CurrentSince Jul 24, 2022 Accepting new patients

Locations

2339 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 520-3053

1940 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 359-8572

5500 Merrick Rd
Massapequa, NY 11758
Phone (516) 797-2657

99 Hudson St
Fl 5
New York, NY 10013
Phone (646) 301-2578

115 Eileen Way
Syosset, NY 11791
Phone (516) 622-9797

Organizations & group practices 4

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": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1376928523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 HEMPSTEAD TPKE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541712",
            "telephone_number": "516-359-8572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 HEMPSTEAD TPKE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541712",
            "telephone_number": "516-359-8572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNISI",
        "first_name": "JOSEPH",
        "credential": "DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0395241",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "8262",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Meadow, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.