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

Therapeutic Physical Therapy PC

Organization Physical Therapist · NPI 1093853657

Therapeutic Physical Therapy PC is a Physical Therapist in Westbury, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1570 Old Country Rd
Westbury, NY 11590-5238
Phone: (516) 338-0412
Fax: (516) 338-1106
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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 019468 (NY)

Record details

NPI number1093853657
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leila Hisole Ceballos — President · (631) 839-4059
NPI enumeratedFebruary 2, 2007
Last updated in NPPESSeptember 12, 2013
Mailing address15 Monmouth St, Deer Park, NY 11729-2514

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