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

Kevin Phelan

Individual provider Physical Therapy Assistant · NPI 1689331613

Kevin Phelan is a Physical Therapy Assistant in Bay Shore, New York. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

94 W Main St
Bay Shore, NY 11706-8365
Phone: (631) 983-3724
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 007659

Record details

NPI number1689331613
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 24, 2021
Last updated in NPPESNovember 24, 2021
Certification dateNovember 24, 2021

Other providers in Bay Shore