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 1790264372

Professional Orthopedic and Sports Physical Therapy PC is a Physical Therapist in West Islip, New York. Registered with an NPI since 2018.

In the registry since
2018
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

175 Sunrise Hwy
West Islip, NY 11795-2011
Phone: (631) 359-5911
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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 number1790264372
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProfessional Orthopedic and Sports Physical Therapy
Authorized official Kathleen Brush — Credentialing Manager · (631) 359-5805
NPI enumeratedAugust 14, 2018
Last updated in NPPESAugust 14, 2018
Mailing address576 Broadhollow Rd, Melville, NY 11747-5002

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