Individual provider Active NPI

Anu Joy, PT

  • Physical Therapist
  • Ronkonkoma, NY
National Provider Identifier
1902331614
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
039236 Issued in NY
Practice address
3075 Veterans Memorial Hwy
Suite 101
Ronkonkoma, NY 11779-7667
Phone
(631) 805-2850
NPI assigned
May 1, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2017

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 039236 NY Primary

Addresses

Primary practice location

3075 Veterans Memorial Hwy
Suite 101
Ronkonkoma, NY 11779-7667

Mailing address

3075 Veterans Memorial Hwy
Ste 101
Ronkonkoma, NY 11779-7600
Phone (631) 389-4640

Other identifiers 1

IdentifierTypeStateIssuer
039236OtherNYNY LIC #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170602000471 NY Practitioner - Physical Therapist in Private Practice 5597032177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

595 Route 25a
Suite 18
Miller Place, NY 11764-2647
Phone (631) 849-1620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
039236NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Corrective Healthcare a Nurse Practitioner in Family Health PC Physical Therapist CurrentSince Dec 13, 2025 Accepting new patients

Locations

595 Route 25A
Ste 18
Miller Place, NY 11764
Phone (631) 849-1620

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1902331614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 VETERANS MEMORIAL HWY",
            "address_2": "STE 101",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797600",
            "telephone_number": "631-389-4640",
            "fax_number": "631-670-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 VETERANS MEMORIAL HWY",
            "address_2": "SUITE 101",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797667",
            "telephone_number": "631-805-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOY",
        "first_name": "ANU",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-01",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "039236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY LIC #",
            "identifier": "039236",
            "state": "NY"
        }
    ],
    "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 May 4, 2017; 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.