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

Professional Orthopedic and Sports Physical Therapy, PC

Organization Physical Therapist · NPI 1376910554

Professional Orthopedic and Sports Physical Therapy, PC provides Physical Therapist services in Port Jefferson Station, New York. Registered with an NPI since 2015.

In the registry since
2015
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

5380 Nesconset Hwy
Port Jefferson Station, NY 11776-2056
Phone: (631) 474-4096
Fax: (631) 474-5299
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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 number1376910554
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leticia Pabellon — Vp Of Admin. Operations · (516) 321-2447
NPI enumeratedAugust 24, 2015
Last updated in NPPESMarch 29, 2018
Mailing address576 Broadhollow Rd, Melville, NY 11747-5002

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