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 1720455918

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

356 Middle Country Rd
Coram, NY 11727-4432
Phone: (631) 716-2700
Fax: (631) 716-2782
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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 number1720455918
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leticia Pabellon — Vp Of Administrative 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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