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

Dr. Gary Despres, PT

Individual provider Orthopedic Physical Therapist · NPI 1639380892

Dr. Gary Despres, PT is a Physical Therapist in Private Practice in Southold, New York. Qualified in 2006, 20 years ago. Practices as a sole proprietor, works from 3 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
20
Licensed in
NY
In the registry since
2007
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Practice location Address checks out

53345 Route 25 Bldg 8-1
Southold, NY 11971-4643
Phone: (631) 765-8760
Fax: (631) 765-8761
Show map & directions

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

Additional practice locations (2)

  • 185 Old Country Rd, Riverhead, NY 11901-2121 — (631) 208-4443
  • 57190 Main Rd, Southold, NY 11971-4750 — (631) 765-3620

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 028374 (NY)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence 62 028374 (NY)

Record details

NPI number1639380892
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedMay 26, 2007
Last updated in NPPESJuly 12, 2022
Certification dateJuly 12, 2022
Mailing addressPo Box 1026, Southold, NY 11971-0931

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount