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

Lake Shore Physical Therapy, PC

Organization Physical Therapist · NPI 1871951996

Lake Shore Physical Therapy, PC is a Physical Therapist in Ronkonkoma, New York. Licensed in New York. Registered with an NPI since 2016.

Licensed in
NY
In the registry since
2016
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

700 Union Pkwy Ste 3
Ronkonkoma, NY 11779-7427
Phone: (516) 731-3583
Fax: (516) 731-3587
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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 005760-1 (NY)

Record details

NPI number1871951996
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sean Serpe — Practice Manager · (516) 731-3583
NPI enumeratedFebruary 3, 2016
Last updated in NPPESFebruary 3, 2016
Mailing address4277 Hempstead Tpke, Suite 209a, Bethpage, NY 11714-5709

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