Individual provider Active NPI

Therese M Panetta-Young, DPT

  • Physical Therapist
  • Ronkonkoma, NY
National Provider Identifier
1558784272
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
037067 Issued in NY
Practice address
3385 Veterans Memorial Hwy Ste I
Ronkonkoma, NY 11779-7660
Phone
(631) 676-3111
NPI assigned
Jan 31, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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 037067 NY Primary

Addresses

Primary practice location

3385 Veterans Memorial Hwy Ste I
Ronkonkoma, NY 11779-7660

Mailing address

3385 Veterans Memorial Hwy Ste I
Ronkonkoma, NY 11779-7660
Phone (631) 676-3111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140321001408 NY Practitioner - Physical Therapist in Private Practice 5991936692 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Panetta Physical Therapy PCGroup PAC ID 1052402450, 14 clinicians

Practice addresses (Care Compare)

3385 Veterans Memorial Hwy
Ronkonkoma, NY 11779-7660
Phone (631) 665-4560

55 Bryant Ave
FL 2
Roslyn, NY 11576-1139
Phone (516) 484-9775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
037067NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bienetre Medical PC Physical Therapist CurrentSince Aug 28, 2025 Accepting new patients
Panetta Physical Therapy, PC Specialist CurrentSince Jan 30, 2014 Accepting new patients
Sea Cliff Chiropractic PC Past Accepting new patients
Joscelyn Travers Physical Therapist Past Accepting new patients

Locations

62 W Main St
Bay Shore, NY 11706
Phone (631) 665-4560

131 W Main St
Bay Shore, NY 11706
Phone (631) 665-4560

225 Howells Rd
#2
Bay Shore, NY 11706
Phone (631) 665-4560

225 Howells Rd
Bay Shore, NY 11706
Phone (631) 665-4560

190 Glen Cove Ave
Glen Cove, NY 11542
Phone (516) 277-1261

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

3385 Veterans Memorial Hwy
Ste 1
Ronkonkoma, NY 11779

3385 Veterans Memorial Hwy
Ste I
Ronkonkoma, NY 11779
Phone (631) 665-4560

55 Bryant Ave
Fl 2
Roslyn, NY 11576
Phone (516) 484-9775

Organizations & group practices 4

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": "1391126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1558784272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3385 VETERANS MEMORIAL HWY STE I",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797660",
            "telephone_number": "631-676-3111",
            "fax_number": "631-676-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3385 VETERANS MEMORIAL HWY STE I",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797660",
            "telephone_number": "631-676-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANETTA-YOUNG",
        "first_name": "THERESE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-31",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "037067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ronkonkoma, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.