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

Michael Bonanni, DPT

Individual provider Geriatric Physical Therapist · NPI 1710469150

Michael Bonanni, DPT is a Geriatric Physical Therapist in Great Neck, New York. Practices as a sole proprietor and works from 3 locations. Licensed in New York.

Licensed in
NY
In the registry since
2018
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

475 Northern Blvd Ste 11
Great Neck, NY 11021
Phone: (516) 829-0030
Fax: (516) 466-7723
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6 Martin Lane, Old Bethpage, NY 11804 — (516) 376-7623
  • 6 Martin Lane, Old Bethpage, NY 11804 — (516) 376-7623

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 040779 (NY)
Geriatric Physical Therapist Taxonomy 2251G0304X · Licence 040779 (NY)

Record details

NPI number1710469150
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedSeptember 2, 2018
Last updated in NPPESNovember 21, 2019
Mailing address475 Northern Blvd Ste 11, Great Neck, NY 11021-4802

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