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

Provident Physical and Occupational Therapy PLLC

Organization Physical Therapist · NPI 1144742479

Provident Physical and Occupational Therapy PLLC is a Physical Therapist in East Northport, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

554 Larkfield Rd Ste 207
East Northport, NY 11731-4205
Phone: (631) 266-4501
Fax: (631) 266-4502
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1144742479
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Steven Desousa — Owner/ Pt · (631) 266-4501
NPI enumeratedJuly 7, 2017
Last updated in NPPESJuly 7, 2017
Mailing address554 Larkfield Rd Ste 207, East Northport, NY 11731-4205

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