Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sports Physical Therapy Occupational Therapy and Rehabilitation Servic

Organization Physical Therapist · NPI 1417462755

Sports Physical Therapy Occupational Therapy and Rehabilitation Servic is a Physical Therapist in Rego Park, New York. Registered with an NPI since 2017.

In the registry since
2017
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Practice location Address checks out

95-25 Queens Blvd Ste D
Rego Park, NY 11374
Phone: (718) 925-6212
Fax: (718) 925-6271
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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 number1417462755
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Vaknin — Vice President · (516) 321-7801
Other names Sports Therapy And Rehabilitation Services
NPI enumeratedDecember 8, 2017
Last updated in NPPESDecember 8, 2022
Certification dateDecember 8, 2022
Mailing address3 Huntington Quadrangle Ste 103n, Melville, NY 11747-4601

Other providers in Rego Park