Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Patchogue Physical Therapy PC

Organization Physical Therapist · NPI 1386659779

Patchogue Physical Therapy PC provides Physical Therapist services in Patchogue, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
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

54 W Main St
Patchogue, NY 11772-3002
Phone: (631) 447-9211
Fax: (631) 447-9214
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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 015188-1 (NY)

Record details

NPI number1386659779
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kieran Deneen — Co-President · (631) 447-9211
NPI enumeratedJuly 31, 2006
Last updated in NPPESAugust 22, 2020
Mailing address54 W Main St, Patchogue, NY 11772-3002

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