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

Lee William Stambouli

Individual provider Physical Therapist · NPI 1073240818

Lee William Stambouli is a Physical Therapist in Private Practice in Riverhead, New York. Qualified in 2021, 5 years ago. Practices with Long Island Vestibular Physical Therapy, PLLC, a 3-clinician group and works from 2 locations. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

1081 Old Country Rd
Riverhead, NY 11901-2019
Phone: (631) 740-9200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 747 Wantagh Ave, Wantagh, NY 11793-2133 — (516) 628-7700

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 047644 (NY)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1073240818
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 2, 2022
Last updated in NPPESMay 9, 2023
Certification dateMay 9, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Long Island Vestibular Physical Therapy, Pllc — 3 clinicians
Accepts Medicare assignment Not indicated

Other providers in Riverhead