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

Spark Physical Therapy PLLC

Organization Physical Therapist · NPI 1861104705

Spark Physical Therapy PLLC is a Physical Therapist in Elmont, New York. Registered with an NPI since 2022.

In the registry since
2022
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

1763 Dutch Broadway
Elmont, NY 11003-5044
Phone: (516) 812-6145
Fax: (516) 812-6144
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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 number1861104705
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randolph Bendo — Owner · (516) 812-6145
NPI enumeratedDecember 22, 2022
Last updated in NPPESDecember 22, 2022
Certification dateDecember 22, 2022
Mailing address1763 Dutch Broadway, Elmont, NY 11003-5044

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