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

Park Avenue Physical Therapy PC

Organization Physical Therapist · NPI 1982360038

Park Avenue Physical Therapy PC is a Physical Therapist in Stony Brook, New York. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

207 Hallock Rd Ste 209
Stony Brook, NY 11790-3082
Phone: (631) 338-8516
Fax: (518) 984-3120
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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 number1982360038
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessie Kim — Owner · (631) 338-8516
Other names Brook Physical Therapy Pc
NPI enumeratedNovember 12, 2021
Last updated in NPPESJanuary 6, 2024
Certification dateJanuary 6, 2024
Mailing address207 Hallock Rd Ste 209, Stony Brook, NY 11790-3082

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