Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Matthew David Angelillo, PT

Individual provider Physical Therapist · NPI 1104868298

Matthew David Angelillo, PT is a Physical Therapist in Private Practice in East Meadow, New York. Qualified in 2006, 20 years ago. Practices with Premier Physical Therapy of Long Island PC, a 2-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
20
Licensed in
NY
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

30 Merrick Ave Ste 100
East Meadow, NY 11554-1579
Phone: (516) 794-7014
Fax: (516) 794-7074
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 024794-1 (NY)

Record details

NPI number1104868298
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 12, 2006
Last updated in NPPESNovember 10, 2009
Mailing address4175 Veterans Memorial Hwy, Suite 202, Ronkonkoma, NY 11779-7639

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Premier Physical Therapy Of Long Island Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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