Individual provider Active NPI

Daniel James O'Leary, DPT

  • Physical Therapist
  • Smithtown, NY
National Provider Identifier
1720414717
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
036518-1 Issued in NY
Practice address
20 Gilbert Ave
Smithtown, NY 11787-5326
Phone
(631) 724-1991
Fax
(631) 724-0984
NPI assigned
Sep 23, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 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 036518-1 NY Primary

Addresses

Primary practice location

20 Gilbert Ave
Smithtown, NY 11787-5326

Mailing address

998 Carmans Rd
Massapequa, NY 11758-3505
Phone (516) 541-4730

Other practice location 1

998 Carmans Rd
Massapequa, NY 11758-3505
Phone (516) 541-4730

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150331000053 NY Practitioner - Physical Therapist in Private Practice 3476870569 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Massapequa PT and Pta PLLCGroup PAC ID 4385828797, 5 clinicians
New York UniversityGroup PAC ID 1355232422, shared by 41 NPIs, 5,925 clinicians

Practice addresses (Care Compare)

127 E Main St
Smithtown, NY 11787-2840
Phone (631) 880-7577

20 Gilbert Ave
Suite 201
Smithtown, NY 11787-5312
Phone (631) 724-1991

913 N Broadway
Massapequa, NY 11758-2364
Phone (516) 454-6387

9785 Queens Blvd
Rego Park, NY 11374-3319
Phone (718) 261-9100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
036518-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Chiropractic, Physical Therapy & Nurse Practitioner in Adult Health of Smithtown, PLLC CurrentSince Dec 8, 2025 Accepting new patients
Spectrum Physical Therapy & Chiropractic, PLLC Physical Therapist PastSince Sep 14, 2015 Accepting new patients

Locations

20 Gilbert Ave
Ste 201
Smithtown, NY 11787
Phone (631) 724-1991

20 Gilbert Ave
Smithtown, NY 11787
Phone (516) 509-8602

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": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1720414717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "998 CARMANS RD",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117583505",
            "telephone_number": "516-541-4730",
            "fax_number": "516-541-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 GILBERT AVE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117875326",
            "telephone_number": "631-724-1991",
            "fax_number": "631-724-0984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "998 Carmans Rd",
            "address_purpose": "LOCATION",
            "city": "Massapequa",
            "state": "NY",
            "postal_code": "117583505",
            "country_code": "US",
            "telephone_number": "516-541-4730",
            "fax_number": "516-541-4748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'LEARY",
        "first_name": "DANIEL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-23",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "036518-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.