Individual provider Active NPI

Peter J Imperato, DPT

  • Physical Therapist
  • Ronkonkoma, NY
National Provider Identifier
1871131607
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
045197 Issued in NY
Practice address
3385 Veterans Memorial Hwy Ste I
Ronkonkoma, NY 11779-7660
Phone
(631) 676-3111
Fax
(631) 665-7213
NPI assigned
Dec 11, 2019
Last updated
Dec 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 045197 NY Primary

Addresses

Primary practice location

3385 Veterans Memorial Hwy Ste I
Ronkonkoma, NY 11779-7660

Mailing address

225 Howells Rd FL 2
Bay Shore, NY 11706-5319
Phone (631) 665-4560

Other practice location 1

225 Howells Rd Fl 2
Bay Shore, NY 11706-5319
Phone (631) 665-4560

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201123001491 NY Practitioner - Physical Therapist in Private Practice 6002227055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seth Greiner PT PLLCGroup PAC ID 3870877707, 6 clinicians

Practice addresses (Care Compare)

170 Montauk Hwy
Speonk, NY 11972
Phone (631) 596-5096

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
045197NYMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Seth Greiner PT PLLC Physical Therapist CurrentSince Jun 10, 2024 Accepting new patients

Organizations & group practices 1

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": "1576022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1871131607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 HOWELLS RD FL 2",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117065319",
            "telephone_number": "631-665-4560",
            "fax_number": "631-665-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3385 VETERANS MEMORIAL HWY STE I",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797660",
            "telephone_number": "631-676-3111",
            "fax_number": "631-665-7213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Howells Rd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Bay Shore",
            "state": "NY",
            "postal_code": "117065319",
            "country_code": "US",
            "telephone_number": "631-665-4560",
            "fax_number": "631-665-7213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IMPERATO",
        "first_name": "PETER",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-11",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "045197",
            "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 Dec 11, 2019; 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.