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

Elevate Dynamics Physical Therapy PLLC

Organization Physical Therapy Clinic/Center · NPI 1225863111

Elevate Dynamics Physical Therapy PLLC is a Physical Therapy Clinic/Center in Massapequa, New York. Registered with an NPI since 2024.

In the registry since
2024
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

5714 Old Sunrise Hwy
Massapequa, NY 11758-5541
Phone: (516) 500-3691
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X

Record details

NPI number1225863111
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Chan — Physical Therapist · (516) 754-0490
NPI enumeratedSeptember 3, 2024
Last updated in NPPESSeptember 3, 2024
Certification dateSeptember 3, 2024
Mailing address21 Barnum Ave, Plainview, NY 11803-6005

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