MICHAEL BONANNI DPT
NPI 1710469150
Physical Therapist in Great Neck, NY
About Michael Bonanni Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL BONANNI DPT (NPI 1710469150) is an individual physical therapist in Great Neck, New York, licensed in New York (040779) and active in the NPI registry since September 2018. He maintains a secondary practice location in Old Bethpage.
NPPES Registry Identity
Specialties & Licenses 2
- 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.
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Michael Bonanni Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Michael Bonanni reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Elmont, NY 11003
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Nassau Health Care Corporation
- 553 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Michael Bonanni's NPI number?
The NPI number for Michael Bonanni is 1710469150. It was assigned to this individual provider in the NPPES registry on September 2, 2018.
Where is Michael Bonanni located?
Michael Bonanni practices at 475 Northern Blvd Ste 11, Great Neck, NY 11021. The listed phone number is (516) 829-0030.
What is Michael Bonanni's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Michael Bonanni enrolled in Medicare?
Yes. Michael Bonanni is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Michael Bonanni's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Bonanni reassigns Medicare benefits to Elmont Community Health Center (Elmont, NY). The 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 Michael Bonanni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Michael Bonanni was last updated on November 21, 2019. 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.