Active NPI
Christina M Panetta, PT
- Specialist
- Ronkonkoma, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 009077-1
- Practice address
- 3385 Veterans Memorial Hwy
Ronkonkoma, NY 11779-7660 - Phone
- (631) 676-3111
- Fax
- (631) 676-3116
- NPI assigned
- Jun 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9077 | NY | |
| Specialist | 174400000X | 009077-1 | NY | Primary |
Addresses
Primary practice location
3385 Veterans Memorial Hwy
Ronkonkoma, NY 11779-7660
Mailing address
3385 Veterans Memorial Hwy Ste 1
Ronkonkoma, NY 11779-7660
Phone (631) 665-4560
Other practice location 1
55 Bryant Ave
Roslyn, NY 11576-1139
Phone (516) 484-9775
Other practice location 2
131 W Main St
Bay Shore, NY 11706-8315
Phone (631) 665-4560
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- State University of New York at Stony Brook, School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9077 | NY | MD | Physical Therapist |
| 009077-1 | NY | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Panetta Physical Therapy, PC | Specialist | Current | Accepting new patients |
| Bienetre Medical PC | Physical Therapist | Current | Accepting new patients |
| Joscelyn Travers | Physical Therapist | Past | Accepting new patients |
Locations
225 Howells Rd
Bay Shore, NY 11706
Phone (631) 665-4560
225 Howells Rd
#2
Bay Shore, NY 11706
Phone (631) 665-4560
131 W Main St
Bay Shore, NY 11706
Phone (631) 665-4560
99 Hudson St
Fl 5
New York, NY 10013
Phone (646) 301-2578
3385 Veterans Memorial Hwy
Ste I
Ronkonkoma, NY 11779
Phone (631) 665-4560
3385 Veterans Memorial Hwy
Ronkonkoma, NY 11779
Phone (631) 676-3111
3385 Veterans Memorial Hwy
Ste 1
Ronkonkoma, NY 11779
3385 Veterans Memorial Hwy
Ste Hi
Ronkonkoma, NY 11779
Phone (631) 665-4560
55 Bryant Ave
Fl 2
Roslyn, NY 11576
Phone (516) 484-9775
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.
-
- Specialist
- Ronkonkoma, NY
- NPI 1144262601
-
- Physical Therapist
- New York, NY
- NPI 1568037257
-
- Physical Therapist
- Bay Shore, NY
- NPI 1861577124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732492800000",
"number": "1679518617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3385 VETERANS MEMORIAL HWY STE 1",
"city": "RONKONKOMA",
"state": "NY",
"postal_code": "117797660",
"telephone_number": "631-665-4560",
"fax_number": "631-665-7213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3385 VETERANS MEMORIAL HWY",
"city": "RONKONKOMA",
"state": "NY",
"postal_code": "117797660",
"telephone_number": "631-676-3111",
"fax_number": "631-676-3116"
}
],
"practiceLocations": [
{
"address_1": "55 Bryant Ave",
"address_purpose": "LOCATION",
"city": "Roslyn",
"state": "NY",
"postal_code": "115761139",
"country_code": "US",
"telephone_number": "516-484-9775",
"fax_number": "516-625-7701",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "131 W Main St",
"address_purpose": "LOCATION",
"city": "Bay Shore",
"state": "NY",
"postal_code": "117068315",
"country_code": "US",
"telephone_number": "631-665-4560",
"fax_number": "631-665-7213",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PANETTA",
"first_name": "CHRISTINA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-16",
"last_updated": "2024-11-25",
"certification_date": "2024-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "9077",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "009077-1",
"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 Nov 25, 2024; 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.