DIMITRY PETTAWAY
NPI 1154203164
Physical Therapist in Oceanside, NY
About Dimitry Pettaway NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIMITRY PETTAWAY (NPI 1154203164) is an individual physical therapist in Oceanside, New York and active in the NPI registry since July 2025.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Group Practice 1
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OCEANSIDE, NY 11572
OCEANSIDE, NY 11572
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Dimitry Pettaway's NPI number?
The NPI number for Dimitry Pettaway is 1154203164. It was assigned to this individual provider in the NPPES registry on July 22, 2025.
Where is Dimitry Pettaway located?
Dimitry Pettaway practices at 2837 Long Beach Rd, Oceanside, NY 11572. The listed phone number is (516) 461-6919.
What is Dimitry Pettaway's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
When was this NPI record last updated?
The NPPES record for Dimitry Pettaway was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.