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

Integrative Sports Physical Therapy

Organization Physical Therapist · NPI 1689864472

Integrative Sports Physical Therapy is a Physical Therapist in Roslyn, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007

Practice location Address checks out

1025 Northern Boulvard Ste 93
Roslyn, NY 11576
Phone: (516) 365-8215
Fax: (516) 365-8296
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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 022886 (NY)

Record details

NPI number1689864472
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wojciech Telacki — Director · (516) 365-8215
NPI enumeratedJuly 27, 2007
Last updated in NPPESJuly 27, 2007
Mailing address1025 Northern Boulvard, Suite 93, Roslyn, NY 11576

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