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

Gnlc Physical Therapy PLLC

Organization Physical Therapist · NPI 1376930974

Gnlc Physical Therapy PLLC is a Physical Therapist in Lake Ronkonkoma, New York. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015
Specialties on file
2
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

500 Portion Rd SUITE5
Lake Ronkonkoma, NY 11779-4587
Phone: (631) 588-2100
Fax: (631) 588-2299
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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 22606 (NY)
Physical Therapist Taxonomy 225100000X · Licence 033193 (NY)

Record details

NPI number1376930974
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jill Szuflada — Office Manager · (631) 588-2100
NPI enumeratedApril 21, 2015
Last updated in NPPESJune 29, 2015
Mailing address500 Portion Rd, Suite5, Lake Ronkonkoma, NY 11779-4587

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