Active NPI
Hennessy Pta PLLC
- Physical Therapy Clinic/Center
- New York, NY
National Provider Identifier
1407726425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- HENNESSY PTA PLLC
- Practice address
- 226 E 54TH St Ste 501
New York, NY 10022-4854 - Phone
- (917) 848-3594
- Fax
- (917) 848-3594
- NPI assigned
- Nov 5, 2025
- 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
- Ann Marie Hennessy, PTA
- Title
- Owner
- Phone
- (917) 848-3594
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | |||
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
226 E 54TH St Ste 501
New York, NY 10022-4854
Mailing address
3215 30TH St Apt B45
Astoria, NY 11106-2978
Phone (917) 848-3594
Other practice location 1
3215 30th St Apt B45
Astoria, NY 11106-2978
Phone (917) 848-3594
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
226 E 54th St
Ste 501
New York, NY 10022
Phone (212) 308-2990
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Physical Therapist
- Forest Hills, NY
- NPI 1861822389
-
- Physical Therapist
- Long Island City, NY
- NPI 1760090898
-
- Physical Therapy Assistant
- New York, NY
- NPI 1235985391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762300800000",
"number": "1407726425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3215 30TH ST APT B45",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111062978",
"telephone_number": "917-848-3594",
"fax_number": "917-848-3594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "226 E 54TH ST STE 501",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100224854",
"telephone_number": "917-848-3594",
"fax_number": "917-848-3594"
}
],
"practiceLocations": [
{
"address_1": "3215 30th St Apt B45",
"address_purpose": "LOCATION",
"city": "Astoria",
"state": "NY",
"postal_code": "111062978",
"country_code": "US",
"telephone_number": "917-848-3594",
"fax_number": "917-848-3594",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HENNESSY PTA PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-05",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A",
"authorized_official_last_name": "HENNESSY",
"authorized_official_first_name": "ANN",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "917-848-3594",
"authorized_official_credential": "PTA"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.