Fontanez Physical Therapy PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

FONTANEZ PHYSICAL THERAPY PLLC

Practice address

422 Beach 64TH St
Arverne, NY 11692-1423

Phone

(646) 737-4728

NPI assigned

Aug 17, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Pedro M. Fontanez, PT, DPTNPI 1639110901

Title

Physical Therapist/ President

Phone

(646) 737-4728

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pedro Martin Fontanez, P.T.

  • Physical Therapist
  • Arverne, NY
  • NPI 1639110901

  NY, Physical Therapist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771459200000",
    "number": "1720754237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 BEACH 64TH ST",
            "city": "ARVERNE",
            "state": "NY",
            "postal_code": "116921423",
            "telephone_number": "646-737-4728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 BEACH 64TH ST",
            "city": "ARVERNE",
            "state": "NY",
            "postal_code": "116921423",
            "telephone_number": "646-737-4728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FONTANEZ PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-17",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A",
        "authorized_official_last_name": "FONTANEZ",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/ PRESIDENT",
        "authorized_official_telephone_number": "646-737-4728",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nnenna Obianuju Ezechukwu, DDS
• Catherine Forrest Falzone
• Antonia M Farr
• Aziza Farr
• Claudine Fisher
• Pedro Martin Fontanez, P.T.
• Grace Garcia, LCSW
• Jennifer Garcia, M.S., CF-SLP
• Daris Audrey Garnes, TEACHER
• Ollie M Gillett

• All providers in Arverne, NY
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.