Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Professional Orthopedic and Sports Physical Therapy, PC

Organization Physical Therapist · NPI 1083159834

Professional Orthopedic and Sports Physical Therapy, PC is a Physical Therapist in Hauppauge, New York. Registered with an NPI since 2017.

In the registry since
2017
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

800 Veterans Memorial Hwy
Hauppauge, NY 11788-2948
Phone: (631) 676-7304
Fax: (631) 676-7309
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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 number1083159834
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathleen Brush — Credentialing Manager · (631) 359-5859
NPI enumeratedJanuary 4, 2017
Last updated in NPPESMarch 28, 2018
Mailing address576 Broadhollow Rd, Melville, NY 11747-5002

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