Individual provider Active NPI

John Spirito, PT, DPT

  • Physical Therapist
  • Northport, NY
National Provider Identifier
1477148161
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01995900 Issued in NJ
Practice address
81 Fort Salonga Rd Ste C
Northport, NY 11768-2889
Phone
(631) 380-3820
NPI assigned
Mar 4, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 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 40QA01995900 NJ Primary

Addresses

Primary practice location

81 Fort Salonga Rd Ste C
Northport, NY 11768-2889

Mailing address

178 Lakeview Ave
Clifton, NJ 07011-4071
Phone (973) 998-8828

Other practice location 1

17 Technology Dr
East Setauket, NY 11733-4000
Phone (631) 606-6075

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230131003268 NY Practitioner - Physical Therapist in Private Practice 0941617401 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Mercy College, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Movement Headquarters Physical TherapyGroup PAC ID 9133537681, 4 clinicians

Practice addresses (Care Compare)

81 Fort Salonga Rd
Suite C
Northport, NY 11768-2889
Phone (631) 380-3820

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01995900NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physiologic Physical Therapy PC Physical Therapist CurrentSince Apr 3, 2023 Accepting new patients
Movement Headquarters Physical Therapy Physical Therapist CurrentSince Dec 1, 2023 Accepting new patients
Gathman Spirito Physical Therapy CurrentSince Dec 24, 2023 Accepting new patients

Locations

17 Technology Dr
East Setauket, NY 11733
Phone (631) 606-6075

98 Cuttermill Rd
Ste 100
Great Neck, NY 11021
Phone (516) 466-4118

81 Fort Salonga Rd
Ste C
Northport, NY 11768
Phone (631) 380-3820

1044 Northern Blvd
Ste 101
Roslyn, NY 11576
Phone (516) 484-2562

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": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1477148161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 LAKEVIEW AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070114071",
            "telephone_number": "973-998-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 FORT SALONGA RD STE C",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117682889",
            "telephone_number": "631-380-3820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Technology Dr",
            "address_purpose": "LOCATION",
            "city": "East Setauket",
            "state": "NY",
            "postal_code": "117334000",
            "country_code": "US",
            "telephone_number": "631-606-6075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPIRITO",
        "first_name": "JOHN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-04",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01995900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.