Dimitry Pettaway
NPI 1154203164 · Physical Therapist · Oceanside, NY
Dimitry Pettaway is a Physical Therapist provider in Oceanside, NY (NPI 1154203164).
Provider details
- NPI number
- 1154203164
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-07-22
- Last updated
- 2025-07-22
- Certified
- 2025-07-22
Frequently asked questions
- What is Dimitry Pettaway's NPI number?
- Dimitry Pettaway's National Provider Identifier (NPI) is 1154203164, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dimitry Pettaway's specialty?
- Dimitry Pettaway is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Dimitry Pettaway located?
- Dimitry Pettaway's practice location on file with NPPES is 2837 Long Beach Rd, Oceanside, NY 11572-2233.
- What is Dimitry Pettaway's phone number?
- The practice phone number listed in the NPPES registry for Dimitry Pettaway is (516) 461-6919.
- Is Dimitry Pettaway's NPI active?
- Yes — Dimitry Pettaway's NPI (1154203164) is active in the NPPES registry as of the last update on 2025-07-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.