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

Professional Orthopedic and Sports Physical Therapy, PC

Organization Physical Therapist · NPI 1376910554

Professional Orthopedic and Sports Physical Therapy, PC is a Physical Therapist in Port Jefferson Station, New York. Registered with an NPI since 2015.

In the registry since
2015
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

5380 Nesconset Hwy
Port Jefferson Station, NY 11776-2056
Phone: (631) 474-4096
Fax: (631) 474-5299
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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 number1376910554
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leticia Pabellon — Vp Of Admin. Operations · (516) 321-2447
NPI enumeratedAugust 24, 2015
Last updated in NPPESMarch 29, 2018
Mailing address576 Broadhollow Rd, Melville, NY 11747-5002

Other providers in Port Jefferson Station