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

Advance Physical Therapy, PC

Organization Physical Therapist · NPI 1417093618

Advance Physical Therapy, PC is a Physical Therapist in Wantagh, New York. Registered with an NPI since 2007.

In the registry since
2007
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

3728 Park Ave
Wantagh, NY 11793-3707
Phone: (516) 679-1207
Fax: (516) 679-2684
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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 number1417093618
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Theresa Fetten — Managing Director · (516) 827-9446
NPI enumeratedJanuary 29, 2007
Last updated in NPPESAugust 22, 2020
Mailing address400 N Broadway, Suite D, Jericho, NY 11753-2113

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