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 1750758447

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

1010 Route 112 Ste 200
Port Jefferson Station, NY 11776-3387 Not confirmed with CMS for 11 years — call before visiting
Phone: (631) 476-4880
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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 number1750758447
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leticia Pabellon — Vp Of Admin Operations · (516) 321-2447
NPI enumeratedAugust 28, 2015
Last updated in NPPESSeptember 29, 2015
Mailing address2142 Utopia Pkwy, Whitestone, NY 11357-4142

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