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

Lake Shore Physical Therapy, PC

Organization Physical Therapist · NPI 1871951996

Lake Shore Physical Therapy, PC provides Physical Therapist services in Ronkonkoma, New York. Licensed in New York. Registered with an NPI since 2016.

Licensed in
NY
In the registry since
2016
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

700 Union Pkwy Ste 3
Ronkonkoma, NY 11779-7427 Not confirmed with CMS for 10 years — call before visiting
Phone: (516) 731-3583
Fax: (516) 731-3587
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 005760-1 (NY)

Record details

NPI number1871951996
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sean Serpe — Practice Manager · (516) 731-3583
NPI enumeratedFebruary 3, 2016
Last updated in NPPESFebruary 3, 2016
Mailing address4277 Hempstead Tpke, Suite 209a, Bethpage, NY 11714-5709

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