Individual provider Active NPI

Matthew F Mangione, PT

  • Physical Therapist
  • East Islip, NY
National Provider Identifier
1952329484
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20599 Issued in NY
Practice address
126 E Main St Ste 2
East Islip, NY 11730-2600
Phone
(516) 536-7388
Fax
(888) 215-5118
NPI assigned
Jul 17, 2006
Last updated
Sep 18, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

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 20599 NY Primary

Addresses

Primary practice location

126 E Main St Ste 2
East Islip, NY 11730-2600

Mailing address

12 Hempstead Ave Apt 1B
Rockville Centre, NY 11570-4016

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040406000712 NY Practitioner - Physical Therapist in Private Practice 1850384876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

126 E Main St
Suite 2
East Islip, NY 11730-2600
Phone (631) 581-7707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20599NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
East Islip Physical Therapy and Rehabilitation PC Physical Therapist CurrentSince Apr 1, 2008 Accepting new patients
Willemen Physical Therapy PC Physical Therapist PastSince Nov 18, 2025 Accepting new patients
New York Physical and Occupational Therapy PLLC Physical Therapist Past Accepting new patients

Locations

126 E Main St
Ste 2
East Islip, NY 11730
Phone (631) 581-7707

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 3

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221696000000",
    "number": "1952329484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 HEMPSTEAD AVE APT 1B",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 E MAIN ST STE 2",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302600",
            "telephone_number": "516-536-7388",
            "fax_number": "888-215-5118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGIONE",
        "first_name": "MATTHEW",
        "middle_name": "F",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2008-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "20599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; 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.