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 1750758447

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

1010 Route 112 Ste 200
Port Jefferson Station, NY 11776-3387
Phone: (631) 476-4880
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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 number1750758447
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leticia Pabellon — Vp Of Admin Operations · (516) 321-2447
NPI enumeratedAugust 28, 2015
Last updated in NPPESSeptember 29, 2015
Mailing address2142 Utopia Pkwy, Whitestone, NY 11357-4142

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