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

Coastal Physical Therapy

Organization Physical Therapist · NPI 1346991114

Coastal Physical Therapy is a Physical Therapist in Patchogue, New York. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

38 Oak St Ste 2
Patchogue, NY 11772-2883
Phone: (631) 654-2225
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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 number1346991114
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Russell Taveras — Owner · (631) 654-2225
NPI enumeratedJanuary 13, 2022
Last updated in NPPESJanuary 13, 2022
Certification dateJanuary 13, 2022
Mailing address38 Oak St Ste 2, Patchogue, NY 11772-2883

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