Daniel Mardkha, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

116002-01 Issued in NY

Practice address

7 New York Ave # 25a
Smithtown, NY 11787-3447

Phone

(631) 724-2200

NPI assigned

Jun 28, 2022

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1649902693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 TRESCOTT PATH",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117682538",
            "telephone_number": "516-306-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 NEW YORK AVE # 25A",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873447",
            "telephone_number": "631-724-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARDKHA",
        "first_name": "DANIEL",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "116002-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Lee Mannkopf
• Tina M Mansky, LCSW
• Mantia Medical Associates
• Donna Manzi, LCSW-R, PHD
• Maple Avenue Midwives PLLC
• Brian H Margolis, MD
• David M Margulies, M.D.
• Jillian Margulies, NP
• Marin Medical Services, PLLC
• Edgar L. Marin, M.D.

• Physical Therapy Assistant in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.