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

Mr. Kenneth Mauro, PT

Individual provider Physical Therapist · NPI 1558429845

Mr. Kenneth Mauro, PT is a Physical Therapist in Great Neck, New York. Works from 3 locations. Licensed in New York.

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

475 Northern Blvd Ste 11
Great Neck, NY 11021-4802
Phone: (516) 829-0030
Fax: (516) 466-7723
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 309 Northwest Dr, Farmingdale, NY 11735-4935 — (516) 420-2900
  • 22135 90th Ave, Queens Village, NY 11428-1324 — (718) 479-9774

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 020538 (NY)

Record details

NPI number1558429845
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedDecember 5, 2006
Last updated in NPPESOctober 1, 2019

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