Individual provider Active NPI

Susan Spagnoli, PT

  • Physical Therapist
  • Centereach, NY
National Provider Identifier
1497734826
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
009110-1 Issued in NY
Practice address
141 Mark Tree Rd
Centereach, NY 11720-2221
Phone
(631) 467-4235
Fax
(631) 467-2655
NPI assigned
Jan 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 009110-1 NY Primary

Addresses

Primary practice location

141 Mark Tree Rd
Centereach, NY 11720-2221

Mailing address

9 Birch Hollow CT
Stony Brook, NY 11790-1847
Phone (631) 467-4235

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100628000186 NY Practitioner - Physical Therapist in Private Practice 9638200116 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1986
Medicare assignment
May accept Medicare assignment
Group practices
Spagnoli Physical Therapy PCGroup PAC ID 1254595200, 11 clinicians

Practice addresses (Care Compare)

141 Mark Tree Rd
Centereach, NY 11720-2221
Phone (631) 467-4235

Merit-based Incentive Payment System (MIPS)

Final score
60.81 of 100Reported as group
Quality
94.75
Improvement activities
0
Cost
76.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009110NYMDMental Health Counselor
009110-1NYMDMechanotherapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bienetre Medical PC Physical Therapist CurrentSince Aug 8, 2025 Accepting new patients
Spagnoli Physical Therapy, PC Physical Therapist CurrentSince Sep 24, 2012 Accepting new patients
Manual & Sports Physical Therapy, PC Physical Therapist CurrentSince May 1, 2015 Accepting new patients

Locations

141 Mark Tree Rd
Centereach, NY 11720
Phone (631) 251-7577

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

167 Main St
Southampton, NY 11968
Phone (631) 283-4190

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": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1497734826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BIRCH HOLLOW CT",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117901847",
            "telephone_number": "631-467-4235",
            "fax_number": "631-467-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 MARK TREE RD",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117202221",
            "telephone_number": "631-467-4235",
            "fax_number": "631-467-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAGNOLI",
        "first_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "009110-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centereach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.