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

Aging Gracefully Physical Therapy Svc PC

Organization Specialist · NPI 1912067190

Aging Gracefully Physical Therapy Svc PC is a Specialist in Massapequa, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
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

5500 Merrick Rd
Massapequa, NY 11758-6216
Phone: (516) 797-2657
Fax: (516) 541-8934
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 0128901 (NY)

Record details

NPI number1912067190
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raymond Cecora — President · (516) 797-2657
NPI enumeratedDecember 11, 2006
Last updated in NPPESAugust 22, 2020
Mailing address5500 Merrick Rd, Massapequa, NY 11758-6216

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