Individual provider Active NPI

Joanne Fu, PT

  • Physical Therapist
  • Roslyn Heights, NY
National Provider Identifier
1942160171
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
054787 Issued in NY
Practice address
66 Powerhouse Rd Ste 304
Roslyn Heights, NY 11577-1372
Phone
(516) 621-1170
NPI assigned
Nov 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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 054787 NY Primary

Addresses

Primary practice location

66 Powerhouse Rd Ste 304
Roslyn Heights, NY 11577-1372

Mailing address

21635 73Rd Ave
Oakland Gardens, NY 11364-2931

Other practice location 1

8040 Cooper Ave Fl 2
Glendale, NY 11385-7725
Phone (718) 725-7970

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260216001613 NY Practitioner - Physical Therapist in Private Practice 8426538844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

972 Brush Hollow Rd
Westbury, NY 11590-1740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic Physical Therapist CurrentSince Jan 1, 2026 Accepting new patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic CurrentSince Jan 1, 2026 Accepting new patients

Locations

8040 Cooper Ave
Fl 2
Glendale, NY 11385
Phone (718) 725-7970

8040 Cooper Ave
Ste 4201
Glendale, NY 11385
Phone (718) 725-7970

9525 Queens Blvd
Ste 3D
Rego Park, NY 11374
Phone (718) 925-6212

66 Powerhouse Rd
Ste 304
Roslyn Heights, NY 11577
Phone (516) 621-1170

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1762905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1942160171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21635 73RD AVE",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113642931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 POWERHOUSE RD STE 304",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771372",
            "telephone_number": "516-621-1170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8040 Cooper Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "NY",
            "postal_code": "113857725",
            "country_code": "US",
            "telephone_number": "718-725-7970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FU",
        "first_name": "JOANNE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-12",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "054787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.