Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Fam Physical Therapy of Miller Place PC

Organization Sports Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1851819023

Fam Physical Therapy of Miller Place PC provides Sports Medicine (Physical Medicine & Rehabilitation) Physician services in Miller Place, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

275 Route 25A
Miller Place, NY 11764-2427
Phone: (631) 364-8114
Fax: (631) 364-8117
Show map & directions

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

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X · Licence 014530-1 (NY)

Record details

NPI number1851819023
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tanya Dumornay — Manager · (718) 820-9300
Other names Advanced S.P.O.R.T.S. Physical Therapy Of Miller Place
NPI enumeratedSeptember 7, 2017
Last updated in NPPESSeptember 7, 2017
Mailing address100 N Belle Mead Rd, East Setauket, NY 11733-3530