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

Patchogue Physical Therapy PC

Organization Physical Therapist · NPI 1386659779

Patchogue Physical Therapy PC is a Physical Therapist 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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