Melanie Ann Bernocco, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

047945 Issued in NY

Practice address

141 Mark Tree Rd
Centereach, NY 11720-2221

Phone

(631) 467-4235

NPI assigned

Oct 5, 2021

Last updated

Oct 6, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mancini Physical Therapy, PCGroup PAC ID 3072885904, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mancini Physical Therapy, PC

  • Physical Therapist
  • Deer Park, NY
  • NPI 1891217899
  Medicare reassignment Care Compare group NPD
• Spagnoli Physical Therapy, PC

  • Physical Therapist
  • Centereach, NY
  • NPI 1386624237
  Medicare reassignment NPD

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1780356956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 MARK TREE RD",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117202221",
            "telephone_number": "631-467-4235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 MARK TREE RD",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117202221",
            "telephone_number": "631-467-4235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNOCCO",
        "first_name": "MELANIE",
        "middle_name": "ANN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "047945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "1",
            "affiliation": "N",
            "endpointDescription": "1",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "1",
            "address_1": "27 Concord Rd",
            "city": "Shirley",
            "state": "NY",
            "country_code": "US",
            "postal_code": "119672505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gregory Baumgartner
• Sharon Ann Beardslee, R.N.
• Fernande Benoit
• Carolyn D Berg-O'Neill
• Robyn Jennifer Berkowitz, RN
• Dolores Isabel Binstock, LSP
• Valentina Blaine, O.D.
• Joseph William Boccio, LPN
• Gregory Charles Bohle, D.D.S., M.D.
• Christa Rebecca Bordeaux, PHARM.D.

• Physical Therapist in Centereach, NY
• Providers in Centereach, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.