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 1689233181

Professional Orthopedic and Sports Physical Therapy, PC provides Physical Therapist services in Queens Village, New York. Registered with an NPI since 2019.

In the registry since
2019
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

22005 Hillside Ave C/o Blink
Queens Village, NY 11427-2033
Phone: (718) 400-8330
Fax: (718) 400-8340
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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 number1689233181
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathleen Brush — Credentialing Manager · (631) 359-5805
NPI enumeratedJune 8, 2019
Last updated in NPPESJune 8, 2019
Mailing address576 Broadhollow Rd, Melville, NY 11747-5002

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