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

Sports Physical Therapy Occupationa Therapy and Rehabilitation Servic

Organization Physical Therapist · NPI 1164297974

Sports Physical Therapy Occupationa Therapy and Rehabilitation Servic provides Physical Therapist services in New York, New York. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

2465 Broadway Lowr Level
New York, NY 10025-0295
Phone: (212) 877-2525
Show map & directions

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

Specialties & licences

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

Record details

NPI number1164297974
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Vaknin — Vp · (516) 321-7801
NPI enumeratedNovember 21, 2023
Last updated in NPPESMarch 18, 2024
Certification dateMarch 18, 2024
Mailing address3 Huntington Quadrangle Ste 103n, Melville, NY 11747-4601

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