NPIMap

Organization Active NPI

Speonk Physical Therapy

  • Physical Therapist
  • Speonk, NY
National Provider Identifier
1730216409
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0260201 Issued in NY
Legal business name
SPEONK PHYSICAL THERAPY
Practice address
295 Montauk Highway
Village Square #13
Speonk, NY 11972-0586
Phone
(631) 325-3400
Fax
(631) 325-3407
NPI assigned
Feb 28, 2007
Last updated
Jan 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Authorized official

Name
Matthew CatanzariteNPI 1255442349
Title
Owner
Phone
(631) 325-3400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 0260201 NY Primary

Addresses

Primary practice location

295 Montauk Highway
Village Square #13
Speonk, NY 11972-0586

Mailing address

100 Maple Ave
Smithtown, NY 11787-3519
Phone (631) 325-3400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081210000269 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4284795113 Receives reassigned benefits from 5 practitioners
Practice locations: Speonk, NY

National Provider Directory

National Provider Directory

Locations

100 Maple Ave
Smithtown, NY 11787
Phone (631) 265-7671

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1730216409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MAPLE AVE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873519",
            "telephone_number": "631-325-3400",
            "fax_number": "631-325-3407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 MONTAUK HIGHWAY",
            "address_2": "VILLAGE SQUARE #13",
            "city": "SPEONK",
            "state": "NY",
            "postal_code": "119720586",
            "telephone_number": "631-325-3400",
            "fax_number": "631-325-3407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEONK PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A",
        "authorized_official_last_name": "CATANZARITE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-325-3400"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0260201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Speonk, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.