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

L.i. Pro Physical Therapy PC

Organization Physical Therapist · NPI 1104164656

L.i. Pro Physical Therapy PC is a Physical Therapist in West Islip, 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

11 Canby Ct
West Islip, NY 11795-2309
Phone: (631) 873-6100
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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 031214-1 (NY)

Record details

NPI number1104164656
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Minerva — Owner · (631) 873-6100
NPI enumeratedJanuary 17, 2013
Last updated in NPPESJanuary 17, 2013
Mailing address11 Canby Ct, West Islip, NY 11795-2309

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