Individual provider Active NPI

Frank Prochilo, PT,DPT

  • Physical Therapist
  • Wantagh, NY
National Provider Identifier
1396299905
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040727 Issued in NY
Practice address
1897 Wantagh Ave
Wantagh, NY 11793-3930
Phone
(516) 490-1480
Fax
(516) 490-4009
NPI assigned
Aug 11, 2016
Last updated
Dec 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 040727 NY Primary

Addresses

Primary practice location

1897 Wantagh Ave
Wantagh, NY 11793-3930

Mailing address

1897 Wantagh Ave
Wantagh, NY 11793-3930
Phone (516) 490-1480

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161018002806 NY Practitioner - Physical Therapist in Private Practice 2668760067 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
State University of New York Downstate Medical Center, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1897 Wantagh Ave
Wantagh, NY 11793-3930
Phone (516) 490-1480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
040727NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Physical Therapy Services LLC Physical Therapist CurrentSince Apr 1, 2019 Accepting new patients
Imperium Physical Therapy PLLC Physical Therapist CurrentSince Oct 1, 2022 Accepting new patients
RB Physical and Occupational Therapy PLLC Physical Therapist CurrentSince Mar 15, 2017 Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

7 Carnegie Plz
Cherry Hill, NJ 08003

2133 Ralph Ave
Brooklyn, NY 11234
Phone (718) 451-1400

4010 Avenue U
Brooklyn, NY 11234
Phone (718) 692-1155

4013 Avenue U
Brooklyn, NY 11234
Phone (718) 692-0949

231 Beach 116th St
Rockaway Park, NY 11694
Phone (718) 474-2224

1351 Forest Ave
Staten Island, NY 10302
Phone (718) 390-0060

1415 Richmond Ave
Staten Island, NY 10314
Phone (212) 475-5540

31 New Dorp Ln
Staten Island, NY 10306
Phone (718) 370-3500

1897 Wantagh Ave
Wantagh, NY 11793
Phone (516) 490-1480

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1396299905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1897 WANTAGH AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933930",
            "telephone_number": "516-490-1480",
            "fax_number": "516-490-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1897 WANTAGH AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933930",
            "telephone_number": "516-490-1480",
            "fax_number": "516-490-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCHILO",
        "first_name": "FRANK",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-11",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wantagh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; 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.