Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prothera Medical

Organization Physical Medicine & Rehabilitation Physician · NPI 1225201262

Prothera Medical is a Physical Medicine & Rehabilitation Physician in Riverhead, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008

Practice location Address checks out

1274 E Main St
Riverhead, NY 11901
Phone: (631) 424-1240
Fax: (631) 424-1241
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 222059 (NY)

Record details

NPI number1225201262
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mike Pappas — Physician · (631) 424-1240
NPI enumeratedApril 10, 2008
Last updated in NPPESApril 10, 2008
Mailing address1274 East Main Street, Riverhead, NY 11901

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