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

Khairul Pearson, PTA, PC

Organization Physical Therapy Assistant · NPI 1699015156

Khairul Pearson, PTA, PC is a Physical Therapy Assistant in Coram, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

54 Wellsley Ln
Coram, NY 11727-1013
Phone: (631) 680-1407
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 006564-1 (NY)

Record details

NPI number1699015156
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Khairul Pearson — Physical Therapist Assistant · (631) 680-1407
NPI enumeratedFebruary 20, 2013
Last updated in NPPESFebruary 20, 2013
Mailing addressPo Box 1417, Rocky Point, NY 11778-1417

Other providers in Coram