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

Massapequa PT & PTA PLLC

Organization Physical Therapist · NPI 1316246895

Massapequa PT & PTA PLLC is a Physical Therapist in N Massapequa, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
Specialties on file
5
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

913 N Broadway
N Massapequa, NY 11758-2364
Phone: (516) 454-6387
Fax: (516) 454-6303
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 024174-1 (NY)
Geriatric Physical Therapist Taxonomy 2251G0304X · Licence 020281-1 (NY)
Neurology Physical Therapist Taxonomy 2251N0400X · Licence 020281-1 (NY)
Sports Physical Therapist Taxonomy 2251S0007X · Licence 024174-1 (NY)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence 024174-1 (NY)

Record details

NPI number1316246895
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Douglas — Ceo · (516) 454-6387
Other names Pequa Physical & Aquatic Therapy, Pllc
NPI enumeratedMarch 23, 2011
Last updated in NPPESJune 12, 2013
Mailing address18 Hamilton Pl, Lake Grove, NY 11755-1915

Other providers in N Massapequa