Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Sports Physical Therapy Occupationa Therapy and Rehabilitation Servic

Organization Physical Therapist · NPI 1902671704

Sports Physical Therapy Occupationa Therapy and Rehabilitation Servic provides Physical Therapist services in New York, New York. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

333 W 52nd St Ste 801
New York, NY 10019-6238
Phone: (646) 912-9086
Show map & directions

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

Specialties & licences

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

Record details

NPI number1902671704
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Vaknin — Vp · (516) 321-7801
NPI enumeratedNovember 21, 2023
Last updated in NPPESMay 20, 2024
Certification dateMay 20, 2024
Mailing address3 Huntington Quadrangle Ste 103n, Melville, NY 11747-4601

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