Dominick Magnotta, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

013126-01 Issued in NY

Practice address

15803 91St St
Howard Beach, NY 11414-3117

Phone

(718) 848-9400

NPI assigned

Jan 10, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Orthoflex Physical Therapy & Rehabilitation, P.C.

  • Physical Medicine & Rehabilitation Physician
  • Howard Beach, NY
  • NPI 1255519856
  NPD

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1396516100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15803 91ST ST",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114143117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15803 91ST ST",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114143117",
            "telephone_number": "718-848-9400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2408 32nd St",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "NY",
            "postal_code": "111021139",
            "country_code": "US",
            "telephone_number": "718-734-2373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGNOTTA",
        "first_name": "DOMINICK",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "013126-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Long Island Queens Medical, PLLC
• Aura C Lopez
• Andrea Michele Losito, LCAT
• Regine E Lubin-Aubourg, RDN, CDN
• Naomi Ruth Lutchman, CF-SLP
• Amanda Ho Yueh Mah, FNP-C
• Mainline Medical PC
• Carmela Anne Maio, MS CCC SLP TSHH
• Amanda Mary Mallahy, PA
• Simranjit Singh Mangat, DO

• Physical Therapy Assistant in Howard Beach, NY
• Providers in Howard Beach, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.