Active NPI
Ryan Dragotta
- Orthopedic Physical Therapist
- Ronkonkoma, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 049265
- Practice address
- 3385 Veterans Memorial Hwy
Ronkonkoma, NY 11779-7660 - Phone
- (631) 676-3111
- NPI assigned
- Apr 13, 2023
- Last updated
- Apr 13, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 049265 | NY | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Panetta Physical Therapy, PC | Orthopedic | Current | Accepting new patients |
| Bienetre Medical PC | Current | 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.