Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

South Bay Physical Therapy and Sports Rehabilitation PC

Organization Physical Therapist · NPI 1649318460

South Bay Physical Therapy and Sports Rehabilitation PC provides Physical Therapist services in Islip, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

393 Moffitt Blvd
Islip, NY 11751
Phone: (631) 581-0006
Fax: (631) 581-0990
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 0240191 (NY)

Record details

NPI number1649318460
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cosmo Baccarella — President · (631) 581-0006
Other names Great South Bay Physical Therapy & Sports Rehabilitation Pc
NPI enumeratedFebruary 2, 2007
Last updated in NPPESJanuary 23, 2018
Mailing address393 Moffitt Blvd, Islip, NY 11751-2708

Other providers in Islip