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

Mr. Glenn Austin Petraitis, PTA

Individual provider Physical Therapy Assistant · NPI 1881403079

Mr. Glenn Austin Petraitis, PTA is a Physical Therapy Assistant in Garden City, New York. Licensed in New York. Registered with an NPI since 2025.

Licensed in
NY
In the registry since
2025
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

800 E Gate Blvd
Garden City, NY 11530-2105
Phone: (831) 849-6000
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 014170-01 (NY)

Record details

NPI number1881403079
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedJanuary 2, 2025
Last updated in NPPESJanuary 2, 2025
Certification dateJanuary 2, 2025

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