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

Fam Physical Therapy of Miller Place PC

Organization Sports Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1851819023

Fam Physical Therapy of Miller Place PC is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Miller Place, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

275 Route 25A
Miller Place, NY 11764-2427
Phone: (631) 364-8114
Fax: (631) 364-8117
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X · Licence 014530-1 (NY)

Record details

NPI number1851819023
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tanya Dumornay — Manager · (718) 820-9300
Other names Advanced S.P.O.R.T.S. Physical Therapy Of Miller Place
NPI enumeratedSeptember 7, 2017
Last updated in NPPESSeptember 7, 2017
Mailing address100 N Belle Mead Rd, East Setauket, NY 11733-3530