Active NPI
Spagnoli Physical Therapy, PC
- Physical Therapist
- Centereach, NY
National Provider Identifier
1386624237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- SPAGNOLI PHYSICAL THERAPY, PC
- Practice address
- 141 Mark Tree Rd
Centereach, NY 11720-2221 - Phone
- (631) 467-4235
- Fax
- (631) 467-2655
- NPI assigned
- Jan 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Mari A Signoretti
- Title
- Office Manager
- Phone
- (631) 467-4235
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NY | Primary |
Addresses
Primary practice location
141 Mark Tree Rd
Centereach, NY 11720-2221
Mailing address
141 Mark Tree Rd
Centereach, NY 11720-2221
Phone (631) 467-4235
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120604000410 | NY | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 1254595200 |
Receives reassigned benefits from 13 practitioners Practice locations: Centereach, NY; East Islip, NY; Mastic, NY |
National Provider Directory
National Provider DirectoryLocations
117 W Main St
East Islip, NY 11730
Phone (631) 446-1700
1636 Montauk Hwy
Ste 4
Mastic, NY 11950
Phone (631) 399-0007
Practitioners & affiliated clinicians
Practitioners 16
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Centereach, NY
- NPI 1780356956
NY, Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1386624237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 MARK TREE RD",
"city": "CENTEREACH",
"state": "NY",
"postal_code": "117202221",
"telephone_number": "631-467-4235",
"fax_number": "631-467-2655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 MARK TREE RD",
"city": "CENTEREACH",
"state": "NY",
"postal_code": "117202221",
"telephone_number": "631-467-4235",
"fax_number": "631-467-2655"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPAGNOLI PHYSICAL THERAPY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-18",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "SIGNORETTI",
"authorized_official_first_name": "MARI",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "631-467-4235",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centereach, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.