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

Derek Fein, PTA

Individual provider Physical Therapy Assistant · NPI 1609339795

Derek Fein, PTA is a Physical Therapy Assistant in Lake Ronkonkoma, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2019
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

47 Cherry St
Lake Ronkonkoma, NY 11779-4325
Phone: (631) 294-8663
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 010454 (NY)

Record details

NPI number1609339795
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedApril 7, 2019
Last updated in NPPESApril 7, 2019