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 1649876004

Sports Physical Therapy Occupational Therapy and Rehabilitation Servic is a Physical Therapist in Babylon, New York. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
3
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Practice location Address checks out

79 Deer Park Ave
Babylon, NY 11702-2839
Phone: (631) 721-4919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X
Hand Occupational Therapist Taxonomy 225XH1200X

Record details

NPI number1649876004
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Vaknin — Vice President · (516) 321-7801
Other names Sports Therapy And Rehabilitation Services; Sports Therapy And Rehabilitation Services; Stars Rehabilitation
NPI enumeratedDecember 9, 2020
Last updated in NPPESAugust 20, 2025
Certification dateAugust 20, 2025
Mailing address3 Huntington Quadrangle Ste 103n, Melville, NY 11747-4601

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