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

Charlene Mary Vitale, PTA

Individual provider Physical Therapy Assistant · NPI 1336509504

Charlene Mary Vitale, PTA is a Physical Therapy Assistant in Manorville, New York. Licensed in New York. Registered with an NPI since 2016.

Licensed in
NY
In the registry since
2016
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

221 N Sunrise Service Rd
Manorville, NY 11949-9604
Phone: (631) 878-8900
Fax: (631) 878-8962
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 001099-1 (NY)

Record details

NPI number1336509504
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedMarch 2, 2016
Last updated in NPPESMarch 2, 2016

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