Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Professional Orthopedic and Sports Physical Therapy, PC

Organization Physical Therapist · NPI 1083159834

Professional Orthopedic and Sports Physical Therapy, PC provides Physical Therapist services in Hauppauge, New York. Registered with an NPI since 2017.

In the registry since
2017
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

800 Veterans Memorial Hwy
Hauppauge, NY 11788-2948
Phone: (631) 676-7304
Fax: (631) 676-7309
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1083159834
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathleen Brush — Credentialing Manager · (631) 359-5859
NPI enumeratedJanuary 4, 2017
Last updated in NPPESMarch 28, 2018
Mailing address576 Broadhollow Rd, Melville, NY 11747-5002

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