Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Provident Physical and Occupational Therapy PLLC

Organization Physical Therapist · NPI 1144742479

Provident Physical and Occupational Therapy PLLC provides Physical Therapist services in East Northport, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

554 Larkfield Rd Ste 207
East Northport, NY 11731-4205
Phone: (631) 266-4501
Fax: (631) 266-4502
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (NY)
Occupational Therapist Taxonomy 225X00000X (NY)

Record details

NPI number1144742479
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Steven Desousa — Owner/ Pt · (631) 266-4501
NPI enumeratedJuly 7, 2017
Last updated in NPPESJuly 7, 2017
Mailing address554 Larkfield Rd Ste 207, East Northport, NY 11731-4205

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