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

Mr. Justin J Bonacci, PT

Individual provider Physical Therapist · NPI 1700865136

Mr. Justin J Bonacci, PT is a Physical Therapist in Private Practice in Mastic, New York. Qualified in 1997, 29 years ago. Practices with Spagnoli Physical Therapy PC, an 11-clinician group. Licensed in New York.

Years since qualifying
29
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

1636 Montauk Hwy Ste 4
Mastic, NY 11950-3016
Phone: (631) 399-0007
Fax: (631) 399-2992
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 017345-1 (NY)

Record details

NPI number1700865136
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedJanuary 13, 2006
Last updated in NPPESOctober 31, 2017

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Spagnoli Physical Therapy Pc — 11 clinicians
Accepts Medicare assignment Not indicated

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