John Connolly, PT, DPT
Individual provider Active NPI Physical Therapist · Armonk, NY
NPI 1811242852 · NPPES record last updated Feb 7, 2021
Key facts
- NPI
- 1811242852
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 035218 (NY)
- Practice address
- 357 Main St
Armonk, NY 10504-1860 - Phone
- (913) 273-0800
- NPI assigned
- Jul 16, 2012
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- New York Medical College, 2012
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
357 Main St
Armonk, NY 10504-1860
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121010000107 | NY | Practitioner - Physical Therapist in Private Practice | 1052560950 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035218 | NY | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 035218 | NY | Yes |
Addresses
Primary practice location
357 Main St
Armonk, NY 10504-1860
Mailing address
357 Main St
Armonk, NY 10504-1860
Phone (914) 273-0800
Other practice location 1
475 Main St
Armonk, NY 10504-1840
Phone (914) 273-0800
Other providers in Armonk, NY
- Child Behavioral Solutions
- Paulina Chojnacka
- Kaitlyn Clarke
- Amanda S Cohen
- Donald N. Cohen
- Frank John Contacessa
- Cor Sports Physical Therapy, LLP
- Jonathan Corti
- CVS Albany LLC
- Steven D'Ambroso
All providers in Armonk, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.