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

Renee E Vaccaro, DPT

Individual provider Physical Therapist · NPI 1316076854

Renee E Vaccaro, DPT is a Physical Therapist in Private Practice in Great Neck, New York. Qualified in 2006, 20 years ago. Practices with Sports Physical Therapy Occupational Therapy and Rehabilitation Servic, a 529-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
20
Licensed in
NY
In the registry since
2007
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

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)

  • 400 W Main St Ste 111, Babylon, NY 11702-3009 — (631) 376-0600
  • 309 Northwest Dr, Farmingdale, NY 11735-4935 — (516) 420-2900

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 028966 (NY)

Record details

NPI number1316076854
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedMarch 2, 2007
Last updated in NPPESSeptember 10, 2020
Certification dateSeptember 10, 2020
Mailing address475 Northern Blvd Ste 11, Great Neck, NY 11021-4802

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Sports Physical Therapy Occupational Therapy And Rehabilitation Servic — 529 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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