Michael Bonanni, DPT
NPI 1710469150 · Physical Therapist · Great Neck, NY
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Bonanni, DPT is a Physical Therapist provider in Great Neck, NY (NPI 1710469150).
Provider details
- NPI number
- 1710469150
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 040779 (NY)
Specialties & taxonomies
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
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Additional practice locations (2)
- 6 Martin LaneOld Bethpage, NY 11804Phone: (516) 376-7623
- 6 Martin LaneOld Bethpage, NY 11804Phone: (516) 376-7623
Registry dates
- Enumerated
- 2018-09-02
- Last updated
- 2019-11-21
Frequently asked questions
- What is Michael Bonanni's NPI number?
- Michael Bonanni's National Provider Identifier (NPI) is 1710469150, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Bonanni's specialty?
- Michael Bonanni is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Michael Bonanni located?
- Michael Bonanni's practice location on file with NPPES is 475 Northern Blvd Ste 11, Great Neck, NY 11021.
- What is Michael Bonanni's phone number?
- The practice phone number listed in the NPPES registry for Michael Bonanni is (516) 829-0030.
- Does Michael Bonanni accept Medicare?
- Michael Bonanni is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michael Bonanni's NPI active?
- Yes — Michael Bonanni's NPI (1710469150) is active in the NPPES registry as of the last update on 2019-11-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.