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

Christian David Pena

Individual provider Physical Therapy Assistant · NPI 1417553967

Christian David Pena is a Physical Therapy Assistant in Middle Island, New York. Practices as a sole proprietor and works from 3 locations. Licensed in New York.

Licensed in
NY
In the registry since
2020

Practice location Address checks out

63 Oakcrest Ave
Middle Island, NY 11953-1415
Phone: (631) 594-3800
Show map & directions

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

Additional practice locations (2)

  • 6 Frowein Rd, Center Moriches, NY 11934-1604 — (631) 878-4400
  • 78 Old Country Rd, Westhampton, NY 11977-1219 — (631) 288-0101

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 012087 (NY)

Record details

NPI number1417553967
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 9, 2020
Last updated in NPPESMay 18, 2025
Certification dateMay 18, 2025

Other providers in Middle Island