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

Distinctive Physical Therapy PLLC

Organization Physical Therapist · NPI 1790013746

Distinctive Physical Therapy PLLC is a Physical Therapist in Merrick, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1545 Walnut Ave
Merrick, NY 11566-2218
Phone: (516) 214-8307
Fax: (516) 750-9086
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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 029447 (NY)

Record details

NPI number1790013746
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Zagare — Physician · (516) 214-8307
NPI enumeratedDecember 3, 2009
Last updated in NPPESSeptember 14, 2010
Mailing address1545 Walnut Ave, Merrick, NY 11566-2218

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