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

Leisure Physical Therapy PC

Organization Physical Therapist · NPI 1083884944

Leisure Physical Therapy PC is a Physical Therapist in Wading River, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2008
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

6144 Route 25A Ste 13
Wading River, NY 11792-2008
Phone: (631) 804-9410
Fax: (631) 345-8919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10 Roosevelt Ave, Port Jefferson Station, NY 11776-3393 — (631) 804-9410

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 016275-1 (NY)

Record details

NPI number1083884944
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scott Paskiewicz — President · (631) 804-9410
NPI enumeratedMarch 6, 2008
Last updated in NPPESJuly 11, 2023
Certification dateJuly 11, 2023
Mailing address6 Sweetberry Ave, Center Moriches, NY 11934-1417

Other providers in Wading River