Dr. John Donnelly, PT
Physical Therapist in New York, NY. Individual provider (NPI-1).
NPI number1366027641
StatusActive
Last updated in NPPESMar 17, 2021
Details
- NPI
- 1366027641
- Entity type
- Individual (NPI-1)
- Name
- Dr. John Donnelly
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 17, 2021
- Certification date
- Mar 17, 2021
- Last updated
- Mar 17, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 047038 | NY | Yes |
Practice location
525 E 68th StNew York, NY 10065-4870
Phone 212-746-5454
Mailing address
280 Atlantic Ave Apt 136East Rockaway, NY 11518-1157
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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