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

Island Sports Physical Therapy of Coram PC

Organization Physical Therapist · NPI 1083681613

Island Sports Physical Therapy of Coram PC provides Physical Therapist services in Coram, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

607 Middle Country Rd
Coram, NY 11727 Not confirmed with CMS for 18 years — call before visiting
Phone: (631) 732-3900
Fax: (631) 732-3900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (NY)

Record details

NPI number1083681613
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Roden — Director/Owner · (631) 732-3900
NPI enumeratedMarch 2, 2006
Last updated in NPPESMarch 31, 2008
Mailing address607 Middle Country Road, Coram, NY 11727

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