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

Jack Christopher Standwill

Individual provider Physical Therapist · NPI 1801764832

Jack Christopher Standwill is a Physical Therapist in Private Practice in Amityville, New York. Qualified in 2025, 1 year ago. Practices with New York University, a 5,884-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
1
Licensed in
NY
In the registry since
2025

Practice location Address checks out

805 Broadway
Amityville, NY 11701-2260
Phone: (631) 608-8874
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 055505 (NY)

Record details

NPI number1801764832
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 29, 2025
Last updated in NPPESMay 13, 2026
Certification dateMay 13, 2026
Mailing address12 Skipper Dr, West Islip, NY 11795-5030

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Amityville