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

Kings Park Physical Therapy PC

Organization Physical Therapist · NPI 1417922717

Kings Park Physical Therapy PC is a Physical Therapist in Kings Park, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
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

277 Indian Head Rd Unit A
Kings Park, NY 11754-4803
Phone: (631) 269-5170
Fax: (631) 269-5283
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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 5555 (NY)

Record details

NPI number1417922717
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gregory Rahn — Pres Owner · (631) 269-5170
NPI enumeratedFebruary 21, 2006
Last updated in NPPESSeptember 10, 2008
Mailing address277 Indian Head Road, Unit A, Kings Park, NY 11754-4803

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