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

New York Physical Therapy Sports Rehabilitation PLLC

Organization Physical Therapist · NPI 1306055959

New York Physical Therapy Sports Rehabilitation PLLC is a Physical Therapist in Bayside, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
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

4402 Francis Lewis Blvd
Bayside, NY 11361-3041
Phone: (718) 428-7171
Fax: (718) 428-7174
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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 0220661 (NY)

Record details

NPI number1306055959
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kostas Koutsoubis — Pres · (718) 428-7171
NPI enumeratedMay 21, 2007
Last updated in NPPESDecember 11, 2013
Mailing address4402 Francis Lewis Blvd, Bayside, NY 11361-3041

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