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 1619327715

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

In the registry since
2016
Specialties on file
2
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

180 Michael Dr
Syosset, NY 11791-5318
Phone: (718) 819-6805
Fax: (347) 841-9109
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1619327715
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathleen Brush — Credentialingcoordinator Manager · (718) 819-6805
NPI enumeratedJune 20, 2016
Last updated in NPPESMarch 29, 2018
Mailing address576 Broadhollow Rd, Melville, NY 11747-5002

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