Individual provider Active NPI

Anthony Mannarino, DPT

  • Specialist
  • Franklin Square, NY
National Provider Identifier
1992038228
Registry record updated Dec 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
029719-1 Issued in NY
Practice address
72 Franklin Ave
Franklin Square, NY 11010-2528
Phone
(516) 437-5300
NPI assigned
Sep 18, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 029719-1 NY Primary

Addresses

Primary practice location

72 Franklin Ave
Franklin Square, NY 11010-2528

Mailing address

750 Zeckendorf Blvd
Garden City, NY 11530-2111
Phone (516) 580-7095

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110609000630 NY Practitioner - Physical Therapist in Private Practice 3375720865 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
029719-1NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifetime Physical Therapy and Chiropractic Rehabilitation PLLC CurrentSince Dec 26, 2015 Accepting new patients
One Physical Therapy, P.C. PastSince Feb 17, 2017 Accepting new patients
Prohealth Care Associates, LLP Past Accepting new patients
Lifetime Physical Therapy & Chiropractic PLLC PastSince Dec 26, 2015 Accepting new patients

Locations

750 Zeckendorf Blvd
Garden City, NY 11530
Phone (516) 580-7095

300 Robbins Ln
Syosset, NY 11791
Phone (516) 248-4264

Organizations & group practices 4

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": "1253232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482883200000",
    "number": "1992038228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 ZECKENDORF BLVD",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302111",
            "telephone_number": "516-580-7095",
            "fax_number": "516-683-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 FRANKLIN AVE",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110102528",
            "telephone_number": "516-437-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNARINO",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-18",
        "last_updated": "2016-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "029719-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Square, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.