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

Core Physical Therapy & Sport Rehabilitation PC

Organization Physical Therapist · NPI 1306979075

Core Physical Therapy & Sport Rehabilitation PC is a Physical Therapist in Staten Island, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
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

259 Jefferson Blvd
Staten Island, NY 10312-3001
Phone: (718) 356-2919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 021520-1 (NY)

Record details

NPI number1306979075
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Pacchiano — Owner · (719) 356-2919
NPI enumeratedMarch 13, 2007
Last updated in NPPESFebruary 23, 2024
Certification dateFebruary 23, 2024
Mailing address259 Jefferson Blvd, Staten Island, NY 10312-3001

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