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 1396274460

Professional Orthopedic and Sports Physical Therapy, PC is a Physical Therapist in Bay Shore, 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

94 W Main St
Bay Shore, NY 11706-8365
Phone: (631) 647-9124
Fax: (631) 647-9128
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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 number1396274460
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathleen Brush — Credentialing Manager · (631) 359-5859
NPI enumeratedJune 12, 2017
Last updated in NPPESApril 2, 2018
Mailing address576 Broadhollow Rd, Melville, NY 11747-5002

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