Active NPI
Emily Fenton, DPT
- Physical Medicine & Rehabilitation Physician
- Oyster Bay, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 053291
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 053291 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Movement Headquarters Physical Therapy | Current | Accepting new patients | |
| Prosports Physical Therapy PC | Physical Medicine & Rehabilitation | Current | 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.
-
- Physical Therapist
- Northport, NY
- NPI 1629603022
-
- Physical Medicine & Rehabilitation Physician
- Huntington, NY
- NPI 1902928138
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.