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

Olympus PT PC

Organization Sports Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1215428370

Olympus PT PC is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Northport, New York. Licensed in New York. Registered with an NPI since 2018.

Licensed in
NY
In the registry since
2018
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

694 Fort Salonga Rd
Northport, NY 11768-3147
Phone: (631) 754-3775
Fax: (631) 754-3816
Show map & directions

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

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X · Licence 032114 (NY)

Record details

NPI number1215428370
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Quennie Ladao-Soto — Owner · (914) 444-6235
NPI enumeratedMay 24, 2018
Last updated in NPPESOctober 13, 2020
Certification dateOctober 13, 2020
Mailing address2403 64th St Apt 1f, Brooklyn, NY 11204-3449

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