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 1700391240

Professional Orthopedic and Sports Physical Therapy, PC provides Physical Therapist services in Southampton, 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

18 W Main St
Southampton, NY 11968-4814
Phone: (631) 207-3600
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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 number1700391240
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathleen Brush — Credentialing · (718) 819-6805
NPI enumeratedDecember 6, 2017
Last updated in NPPESDecember 6, 2017
Mailing address2142 Utopia Pkwy, Whitestone, NY 11357-4142

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