Provider Demographics
NPI:1588366678
Name:JONATHAN AMATO PT PLLC
Entity type:Organization
Organization Name:JONATHAN AMATO PT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/HEAD THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:AMATO
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, OCS, CSCS
Authorized Official - Phone:631-626-6578
Mailing Address - Street 1:1242 MONTAUK HWY
Mailing Address - Street 2:
Mailing Address - City:OAKDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11769-1435
Mailing Address - Country:US
Mailing Address - Phone:631-626-6578
Mailing Address - Fax:631-909-2938
Practice Address - Street 1:1242 MONTAUK HWY
Practice Address - Street 2:
Practice Address - City:OAKDALE
Practice Address - State:NY
Practice Address - Zip Code:11769-1435
Practice Address - Country:US
Practice Address - Phone:631-626-6578
Practice Address - Fax:631-909-2938
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-21
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy