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 1790264372

Professional Orthopedic and Sports Physical Therapy PC provides Physical Therapist services in West Islip, New York. Registered with an NPI since 2018.

In the registry since
2018
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

175 Sunrise Hwy
West Islip, NY 11795-2011
Phone: (631) 359-5911
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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 number1790264372
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProfessional Orthopedic and Sports Physical Therapy
Authorized official Kathleen Brush — Credentialing Manager · (631) 359-5805
NPI enumeratedAugust 14, 2018
Last updated in NPPESAugust 14, 2018
Mailing address576 Broadhollow Rd, Melville, NY 11747-5002

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