Active NPI
Matthew Cabrera
- Physical Therapy Assistant
- Amityville, NY
National Provider Identifier
1417840448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 012557
- Practice address
- 11 Broadway
Amityville, NY 11701-2701 - Phone
- (631) 691-6900
- NPI assigned
- May 29, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 012557 | NY | Primary |
Addresses
Primary practice location
11 Broadway
Amityville, NY 11701-2701
Mailing address
1664 August Rd
North Babylon, NY 11703-1928
Phone (516) 220-7889
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PKL Physical Therapy & Wellness, PC | Current | Accepting new patients | |
| Jeffrey Wheeler DO PC | Current | Accepting new patients |
Locations
11 Broadway
Amityville, NY 11701
Phone (516) 605-1700
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Amityville, NY
- NPI 1497260442
-
- Physical Therapist
- Amityville, NY
- NPI 1962594143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748476800000",
"number": "1417840448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1664 AUGUST RD",
"city": "NORTH BABYLON",
"state": "NY",
"postal_code": "117031928",
"telephone_number": "516-220-7889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 BROADWAY",
"city": "AMITYVILLE",
"state": "NY",
"postal_code": "117012701",
"telephone_number": "631-691-6900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABRERA",
"first_name": "MATTHEW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-29",
"last_updated": "2025-05-29",
"certification_date": "2025-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "012557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amityville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.