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

Mr. Stephen A Wiley, DPT

Individual provider Physical Therapist · NPI 1588058275

Mr. Stephen A Wiley, DPT is a Physical Therapist in Private Practice in Roslyn, New York. Qualified in 2014, 12 years ago. Practices with Panetta Physical Therapy PC, a 14-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2015
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

55 Bryant Ave 2nd Fl
Roslyn, NY 11576-1139
Phone: (516) 484-9775
Fax: (516) 625-7701
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 038400-1 (NY)

Record details

NPI number1588058275
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMarch 20, 2015
Last updated in NPPESApril 24, 2025
Certification dateApril 17, 2025
Mailing address3385 Veterans Memorial Hwy Ste I, Ronkonkoma, NY 11779-7660

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Panetta Physical Therapy Pc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Roslyn