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

Sport Rehab Physical Therapy PLLC

Organization Physical Therapist · NPI 1629021274

Sport Rehab Physical Therapy PLLC is a Physical Therapist in Depew, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
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

5102 Transit Rd
Depew, NY 14043-4465
Phone: (716) 683-9310
Fax: (716) 683-7961
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence NYS009291 (NY)

Record details

NPI number1629021274
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Philip Tonsoline — Owner- Physical Therapist · (716) 683-9310
NPI enumeratedMay 17, 2006
Last updated in NPPESMay 2, 2014
Mailing address5102 Transit Rd, Depew, NY 14043-4465

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