Healthcare Provider Details

I. General information

NPI: 1982511176
Provider Name (Legal Business Name): ANTHONY FERRAIOLI PT,DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1351 FOREST AVE
STATEN ISLAND NY
10302-2049
US

IV. Provider business mailing address

517 GENESEE AVE
STATEN ISLAND NY
10312-3242
US

V. Phone/Fax

Practice location:
  • Phone: 718-390-0060
  • Fax: 718-390-0067
Mailing address:
  • Phone: 347-884-1501
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number056368
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: