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

Michael Raganella, DPT

Individual provider Physical Therapist · NPI 1902490964

Michael Raganella, DPT is a Physical Therapist in Private Practice in Northport, New York. Qualified in 2020, 6 years ago. Practices with Ivyrehab Physical Therapy, Occupational Therapy and Speech Language PA, a 385-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2021
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

389 Fort Salonga Rd
Northport, NY 11768-3089
Phone: (631) 261-0444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1470 Sunrise Hwy, Bay Shore, NY 11706-6021 — (631) 446-1480

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 046737 (NY)

Record details

NPI number1902490964
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedFebruary 21, 2021
Last updated in NPPESMarch 31, 2021
Certification dateMarch 31, 2021
Mailing address1377 Motor Pkwy Ste 307, Islandia, NY 11749-5258

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Ivyrehab Physical Therapy, Occupational Therapy And Speech Language Pa — 385 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Northport