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 1619327715

Professional Orthopedic and Sports Physical Therapy, PC is a Physical Therapist in Syosset, New York. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2
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

180 Michael Dr
Syosset, NY 11791-5318
Phone: (718) 819-6805
Fax: (347) 841-9109
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1619327715
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathleen Brush — Credentialingcoordinator Manager · (718) 819-6805
NPI enumeratedJune 20, 2016
Last updated in NPPESMarch 29, 2018
Mailing address576 Broadhollow Rd, Melville, NY 11747-5002

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