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

Life PT Online, PLLC

Organization Physical Therapist · NPI 1649893603

Life PT Online, PLLC is a Physical Therapist in East Patchogue, New York. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

199 Orchard Rd
East Patchogue, NY 11772-5510
Phone: (631) 742-4282
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1649893603
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Loretta Peck — Physical Therapist/Owner · (631) 742-4282
NPI enumeratedMay 26, 2020
Last updated in NPPESMay 26, 2020
Certification dateMay 26, 2020
Mailing addressPo Box 395, Brookhaven, NY 11719-0395

Other providers in East Patchogue