ADVANCE PHYSICAL THERAPY, P.C.
NPI 1417093618
Physical Therapist in Wantagh, NY

Active since January 29, 2007
3728 PARK AVE, WANTAGH, NY 11793(516) 679-1207(516) 679-2684 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Advance Physical Therapy, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCE PHYSICAL THERAPY, P.C. (NPI 1417093618) is a healthcare organization registered as a physical therapist in Wantagh, New York and active in the NPI registry since January 2007. The organization lists Theresa Fetten, Managing Director, as its authorized official.

NPPES Registry Identity

NPI1417093618
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameADVANCE PHYSICAL THERAPY, P.C.
Location Address3728 PARK AVEWantagh, NY 11793-3707
Mailing Address400 N Broadway, Suite DJericho, NY 11753-2113 · (516) 827-9446 · Fax (516) 827-0042
Fax(516) 679-2684
Organization SubpartNo
Authorized OfficialTheresa FettenManaging Director · (516) 827-9446
Enumeration DateJanuary 29, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1417093618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • 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.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
3728 PARK AVE, Wantagh, NY 11793

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advance Physical Therapy, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

20

Medicare enrollment records show 20 clinicians reassign Medicare billing to Advance Physical Therapy, P.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians, nearest first (20)

Physical Therapist in Private Practice
NPI 1902295892
3728 PARK AVE
Wantagh, NY 11793
(516) 679-1207
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1396725883
3923 LAUREL CT
Seaford, NY 11783
(917) 848-0539
✔ Accepts Medicare0.5 mi
Physical Therapist in Private Practice
NPI 1972194405
4 ANCHOR DR
Massapequa, NY 11758
(516) 541-5187
✔ Accepts Medicare1.5 mi
Physical Therapist in Private Practice
NPI 1669734992
229 JERUSALEM AVE
Massapequa Park, NY 11762
(516) 316-5020
✔ Accepts Medicare2.8 mi
Physical Therapist in Private Practice
NPI 1497490841
970 WELLWOOD AVE
Lindenhurst, NY 11757
(631) 490-5435
✔ Accepts Medicare6.1 mi
Physical Therapist in Private Practice
NPI 1770237943
970 WELLWOOD AVE
Lindenhurst, NY 11757
(516) 568-4444
✔ Accepts Medicare6.1 mi
Physical Therapist in Private Practice
NPI 1447253000
400 N BROADWAY UNIT D
Jericho, NY 11753
(516) 827-9446
✔ Accepts Medicare8.2 mi
Physical Therapist in Private Practice
NPI 1629084736
15 NEIL CT INSIDE FRIEDBERG JCC
Oceanside, NY 11572
(516) 766-0505
✔ Accepts Medicare8.2 mi
Physical Therapist in Private Practice
NPI 1245316330
1575 HILLSIDE AVE SUITE 305
New Hyde Park, NY 11040
(516) 354-9250
✔ Accepts Medicare11 mi
Physical Therapist in Private Practice
NPI 1447918263
125 N CENTRAL AVE
Valley Stream, NY 11580
(516) 568-4444
✔ Accepts Medicare11 mi
Physical Therapist in Private Practice
NPI 1063003721
125 N CENTRAL AVE
Valley Stream, NY 11580
(516) 568-4444
✔ Accepts Medicare11 mi
Physical Therapist in Private Practice
NPI 1508387366
27003 HILLSIDE AVE
New Hyde Park, NY 11040
(718) 831-1900
✔ Accepts Medicare12 mi
Physical Therapist in Private Practice
NPI 1508945775
755 NEW YORK AVE SUITE 106
Huntington, NY 11743
(631) 351-7676
13 mi
Physical Therapist in Private Practice
NPI 1215024104
475 NORTHERN BLVD SUITE 11
Great Neck, NY 11021
(516) 829-0030
✔ Accepts Medicare14 mi
Physical Therapist in Private Practice
NPI 1659737393
2812 201ST ST
Bayside, NY 11360
(347) 804-4956
✔ Accepts Medicare17 mi
Physical Therapist in Private Practice
NPI 1831558501
521 ROUTE 111 STE 107
Hauppauge, NY 11788
(631) 724-9509
✔ Accepts Medicare19 mi
Physical Therapist in Private Practice
NPI 1447598628
28-18 31ST STREET
Astoria, NY 11102
(718) 956-6565
✔ Accepts Medicare23 mi
Physical Therapist in Private Practice
NPI 1396083564
28-18 31ST STREET 2ND FLOOR
Astoria, NY 11102
(718) 956-6565
✔ Accepts Medicare23 mi
Physical Therapist in Private Practice
NPI 1467124990
1021 BROADWAY ST
Buffalo, NY 14212
(716) 431-5141
✔ Accepts Medicare315 mi
Physical Therapist in Private Practice
NPI 1710606694
2633 MAIN ST
Buffalo, NY 14214
(716) 342-1100
✔ Accepts Medicare317 mi

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 Advance Physical Therapy, P.C.'s NPI number?

The NPI number for Advance Physical Therapy, P.C. is 1417093618. It was assigned to this organization in the NPPES registry on January 29, 2007.

Where is Advance Physical Therapy, P.C. located?

Advance Physical Therapy, P.C. is located at 3728 Park Ave, Wantagh, NY 11793. The listed phone number is (516) 679-1207.

What is Advance Physical Therapy, P.C.'s specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Advance Physical Therapy, P.C. enrolled in Medicare?

Yes. Advance Physical Therapy, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advance Physical Therapy, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Advance Physical Therapy, P.C.. 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 8 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 Advance Physical Therapy, P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.