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

Jennifer Petrakis

Individual provider Physical Therapist · NPI 1831550193

Jennifer Petrakis is a Physical Therapist in Northport, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2016

Practice location Address checks out

389 Fort Salonga Rd Ste One
Northport, NY 11768-3044
Phone: (631) 261-0444
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 018883-1 (NY)

Record details

NPI number1831550193
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 15, 2016
Last updated in NPPESMarch 15, 2016

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