PEQUA PHYSICAL & AQUATIC THERAPY, PLLC
NPI 1316246895
Physical Therapist in N Massapequa, NY
About Pequa Physical & Aquatic Therapy, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PEQUA PHYSICAL & AQUATIC THERAPY, PLLC (NPI 1316246895) is a healthcare organization registered as a physical therapist in N Massapequa, New York and active in the NPI registry since March 2011. The organization lists John Douglas, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
- 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.
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pequa Physical & Aquatic Therapy, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Pequa Physical & Aquatic Therapy, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (11)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Massapequa Pt & Pta PLLC's NPI number?
The NPI number for Massapequa Pt & Pta PLLC is 1316246895. It was assigned to this organization in the NPPES registry on March 23, 2011. The provider is doing business as Pequa Physical & Aquatic Therapy, PLLC.
Where is Massapequa Pt & Pta PLLC located?
Massapequa Pt & Pta PLLC is located at 913 N Broadway, N Massapequa, NY 11758. The listed phone number is (516) 454-6387.
What is Massapequa Pt & Pta PLLC's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Massapequa Pt & Pta PLLC enrolled in Medicare?
Yes. Massapequa Pt & Pta PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Massapequa Pt & Pta PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Massapequa Pt & Pta PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Massapequa Pt & Pta PLLC was last updated on June 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.