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

New York Physical Therapy Sports Rehabilitation PLLC

Organization Physical Therapist · NPI 1306055959

New York Physical Therapy Sports Rehabilitation PLLC provides Physical Therapist services in Bayside, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4402 Francis Lewis Blvd
Bayside, NY 11361-3041 Not confirmed with CMS for 12 years — call before visiting
Phone: (718) 428-7171
Fax: (718) 428-7174
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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 0220661 (NY)

Record details

NPI number1306055959
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kostas Koutsoubis — Pres · (718) 428-7171
NPI enumeratedMay 21, 2007
Last updated in NPPESDecember 11, 2013
Mailing address4402 Francis Lewis Blvd, Bayside, NY 11361-3041

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