Massapequa PT & Pta PLLC
NPI 1316246895 · Physical Therapist · N Massapequa, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Massapequa PT & Pta PLLC is a Physical Therapist organization in N Massapequa, NY (NPI 1316246895).
Provider details
- NPI number
- 1316246895
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- John Douglas, Ceo(516) 454-6387
- License
- 020281-1 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
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
15 yrs in NPPES registry
- Profile completeness38% of score
100% 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
Other names (DBA / former)
- Doing business as
- Pequa Physical & Aquatic Therapy, PLLC
Registry dates
- Enumerated
- 2011-03-23
- Last updated
- 2013-06-12
Frequently asked questions
- What is Massapequa PT & Pta PLLC's NPI number?
- Massapequa PT & Pta PLLC's National Provider Identifier (NPI) is 1316246895, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Massapequa PT & Pta PLLC?
- Massapequa PT & Pta PLLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Massapequa PT & Pta PLLC located?
- Massapequa PT & Pta PLLC's practice location on file with NPPES is 913 N Broadway, N Massapequa, NY 11758-2364.
- What is Massapequa PT & Pta PLLC's phone number?
- The practice phone number listed in the NPPES registry for Massapequa PT & Pta PLLC is (516) 454-6387.
- Does Massapequa PT & Pta PLLC accept Medicare?
- Massapequa PT & Pta PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Massapequa PT & Pta PLLC?
- The authorized official listed on Massapequa PT & Pta PLLC's NPPES record is John Douglas, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Massapequa PT & Pta PLLC's NPI active?
- Yes — Massapequa PT & Pta PLLC's NPI (1316246895) is active in the NPPES registry as of the last update on 2013-06-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.