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

Professional Orthopedic and Sports Physical Therapy, PC

Organization Physical Therapist · NPI 1093160590

Professional Orthopedic and Sports Physical Therapy, PC provides Physical Therapist services in Stony Brook, New York. Registered with an NPI since 2016.

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

1 Chapman Pkwy
Stony Brook, NY 11790-1756 Not confirmed with CMS for 10 years — call before visiting
Phone: (718) 819-6805
Fax: (347) 841-9109
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1093160590
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathleen Brush — Credentialing Manager · (718) 819-6805
NPI enumeratedMay 3, 2016
Last updated in NPPESMay 3, 2016
Mailing address2142 Utopia Pkwy, Whitestone, NY 11357-4142

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