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

Port Jefferson Physical Therapy PC

Organization Orthopedic Physical Therapist · NPI 1497887756

Port Jefferson Physical Therapy PC is an Orthopedic Physical Therapist in Port Jefferson Station, 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?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

300 Hallock Ave
Port Jefferson Station, NY 11776-1227
Phone: (631) 331-1070
Fax: (631) 331-1126
Show map & directions

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

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 002266 (NY)

Record details

NPI number1497887756
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roger Wetsell — Owner · (631) 331-1070
NPI enumeratedMarch 12, 2007
Last updated in NPPESAugust 22, 2020
Mailing address300 Hallock Ave, Port Jefferson Station, NY 11776-1227

Other providers in Port Jefferson Station