Individual provider Active NPI

Emily Fenton, DPT

  • Physical Medicine & Rehabilitation Physician
  • Oyster Bay, NY
National Provider Identifier
1750101341
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
053291 Issued in NY
Practice address
9 E Main St
Oyster Bay, NY 11771-2440
Phone
(516) 864-2900
Fax
(516) 864-2902
NPI assigned
Oct 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 053291 NY Primary

Addresses

Primary practice location

9 E Main St
Oyster Bay, NY 11771-2440

Mailing address

9 E Main St
Oyster Bay, NY 11771-2440
Phone (516) 864-2900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250326000613 NY Practitioner - Physical Therapist in Private Practice 9537682083 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Pro Sports Physical Therapy PCGroup PAC ID 9739071481, 10 clinicians
Movement Headquarters Physical TherapyGroup PAC ID 9133537681, 4 clinicians

Practice addresses (Care Compare)

467 New York Ave
Huntington, NY 11743-3557
Phone (631) 424-1100

81 Fort Salonga Rd
Suite C
Northport, NY 11768-2889
Phone (631) 380-3820

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
053291NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Movement Headquarters Physical Therapy CurrentSince Jul 1, 2025 Accepting new patients
Prosports Physical Therapy PC Physical Medicine & Rehabilitation CurrentSince Jan 3, 2025 Accepting new patients

Locations

467 New York Ave
Unit 1
Huntington, NY 11743

11 Birch Hill Rd
Locust Valley, NY 11560
Phone (516) 801-6020

81 Fort Salonga Rd
Ste C
Northport, NY 11768
Phone (631) 380-3820

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Organizations & group practices 2

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": "1729036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1750101341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 E MAIN ST",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117712440",
            "telephone_number": "516-864-2900",
            "fax_number": "516-864-2902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 E MAIN ST",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117712440",
            "telephone_number": "516-864-2900",
            "fax_number": "516-864-2902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENTON",
        "first_name": "EMILY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "053291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oyster Bay, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.

Verify at the official NPI Registry.