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

South Shore Wellness Physical Therapy PC

Organization Physical Therapist · NPI 1013505734

South Shore Wellness Physical Therapy PC is a Physical Therapist in Port Jefferson Station, New York. Registered with an NPI since 2021.

In the registry since
2021
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

1041 Route 112
Port Jefferson Station, NY 11776-6000
Phone: (631) 828-4545
Fax: (631) 828-4552
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1013505734
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Glenda Mapa — Owner · (631) 828-4545
NPI enumeratedJanuary 7, 2021
Last updated in NPPESJanuary 7, 2021
Certification dateJanuary 7, 2021
Mailing address1041 Route 112, Port Jefferson Station, NY 11776-6000

Other providers in Port Jefferson Station