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 1700391240

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

18 W Main St
Southampton, NY 11968-4814
Phone: (631) 207-3600
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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 number1700391240
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathleen Brush — Credentialing · (718) 819-6805
NPI enumeratedDecember 6, 2017
Last updated in NPPESDecember 6, 2017
Mailing address2142 Utopia Pkwy, Whitestone, NY 11357-4142

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