Individual provider Active NPI

Dominic Sofia, PT

  • Physical Therapist
  • Syosset, NY
National Provider Identifier
1427824341
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
051586 Issued in NY
Practice address
115 Eileen Way
Syosset, NY 11791-5302
Phone
(516) 622-9797
NPI assigned
Dec 1, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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 051586 NY Primary

Addresses

Primary practice location

115 Eileen Way
Syosset, NY 11791-5302

Mailing address

40 Brockmeyer Dr
Massapequa, NY 11758-7803
Phone (516) 398-7365

Other practice location 1

2103 Deer Park Ave
Deer Park, NY 11729-1317
Phone (516) 622-9797

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231208003006 NY Practitioner - Physical Therapist in Private Practice 7315396819 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Syosset Physical Therapy and Athletic Training PLLCGroup PAC ID 7113282005, 10 clinicians
Raymond N Cecora PT PCGroup PAC ID 6002889946, 10 clinicians

Practice addresses (Care Compare)

115 Eileen Way
Syosset, NY 11791-5302
Phone 51662297975325

5500 Merrick Rd
Massapequa, NY 11758-6231
Phone (516) 798-3789

Merit-based Incentive Payment System (MIPS)

Final score
94.48 of 100Reported as group
Quality
100
Improvement activities
40
Cost
81.58

Merit-based Incentive Payment System (MIPS)

Final score
93.75 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
051586NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bienetre Medical PC Physical Therapist CurrentSince Jul 6, 2025 Accepting new patients
Syosset Physical Therapy and Athletic Training PLLC Physical Therapist CurrentSince Nov 9, 2023 Accepting new patients
Raymond N Cecora PT PC Physical Therapist CurrentSince Nov 9, 2023 Accepting new patients

Locations

2103 Deer Park Ave
Deer Park, NY 11729
Phone (631) 242-4500

2339 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 520-3053

5500 Merrick Rd
Massapequa, NY 11758
Phone (516) 797-2657

111 Grand Ave
Massapequa, NY 11758
Phone (516) 798-2635

99 Hudson St
Fl 5
New York, NY 10013
Phone (646) 301-2578

115 Eileen Way
Syosset, NY 11791
Phone (516) 622-9797

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1427824341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BROCKMEYER DR",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117587803",
            "telephone_number": "516-398-7365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 EILEEN WAY",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117915302",
            "telephone_number": "516-622-9797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2103 Deer Park Ave",
            "address_purpose": "LOCATION",
            "city": "Deer Park",
            "state": "NY",
            "postal_code": "117291317",
            "country_code": "US",
            "telephone_number": "516-622-9797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOFIA",
        "first_name": "DOMINIC",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-01",
        "last_updated": "2023-12-01",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "051586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.