Premier Physical Therapy of Long Island PC
NPI 1528351988ActiveOrganization· Physical Therapist· Patchogue, NY
Physical Therapist in Patchogue, New York, registered in NPPES in May 2011. The authorized official on file is Matthew David Angelillo, DPT, Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1528351988 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 18, 2011 |
| Last updated in NPPES | May 18, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 024794 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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