Individual provider Active NPI

Ryan Dragotta

  • Orthopedic Physical Therapist
  • Ronkonkoma, NY
National Provider Identifier
1790471779
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
049265 Issued in NY
Practice address
3385 Veterans Memorial Hwy
Ronkonkoma, NY 11779-7660
Phone
(631) 676-3111
NPI assigned
Apr 13, 2023
Last updated
Apr 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 049265 NY Primary

Addresses

Primary practice location

3385 Veterans Memorial Hwy
Ronkonkoma, NY 11779-7660

Mailing address

3385 Veterans Memorial Hwy
Ronkonkoma, NY 11779-7660

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231107002290 NY Practitioner - Physical Therapist in Private Practice 2567819998 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Panetta Physical Therapy PCGroup PAC ID 1052402450, 14 clinicians

Practice addresses (Care Compare)

3385 Veterans Memorial Hwy
Ronkonkoma, NY 11779-7660
Phone (631) 665-4560

55 Bryant Ave
FL 2
Roslyn, NY 11576-1139
Phone (516) 484-9775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
049265NYMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Panetta Physical Therapy, PC Orthopedic CurrentSince Nov 10, 2023 Accepting new patients
Bienetre Medical PC CurrentSince Aug 28, 2025 Accepting new patients

Locations

99 Hudson St
Fl 5
New York, NY 10013
Phone (646) 301-2578

3385 Veterans Memorial Hwy
Ste I
Ronkonkoma, NY 11779
Phone (631) 665-4560

55 Bryant Ave
Fl 2
Roslyn, NY 11576
Phone (516) 484-9775

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1790471779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3385 VETERANS MEMORIAL HWY",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3385 VETERANS MEMORIAL HWY",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797660",
            "telephone_number": "631-676-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAGOTTA",
        "first_name": "RYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-13",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "049265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ronkonkoma, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.