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

South Bay Physical Therapy and Sports Rehabilitation PC

Organization Physical Therapist · NPI 1649318460

South Bay Physical Therapy and Sports Rehabilitation PC is a Physical Therapist in Islip, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
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

393 Moffitt Blvd
Islip, NY 11751
Phone: (631) 581-0006
Fax: (631) 581-0990
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 0240191 (NY)

Record details

NPI number1649318460
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cosmo Baccarella — President · (631) 581-0006
Other names Great South Bay Physical Therapy & Sports Rehabilitation Pc
NPI enumeratedFebruary 2, 2007
Last updated in NPPESJanuary 23, 2018
Mailing address393 Moffitt Blvd, Islip, NY 11751-2708

Other providers in Islip