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

Lifelong Rehab Enterprises

Organization Physical Therapist · NPI 1245855519

Lifelong Rehab Enterprises is a Physical Therapist in East Quogue, New York. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
3

Practice location Address checks out

143 Chardonnay Dr
East Quogue, NY 11942-3829
Phone: (631) 278-0665
Fax: (631) 532-4886
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1245855519
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Ciolino — President · (631) 278-0665
NPI enumeratedJune 12, 2020
Last updated in NPPESJune 12, 2020
Certification dateJune 12, 2020
Mailing address143 Chardonnay Dr, East Quogue, NY 11942-3829

Other providers in East Quogue