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

Mr. Craig Peter Davidson

Individual provider Physical Therapist · NPI 1366027690

Mr. Craig Peter Davidson is a Physical Therapist in Private Practice in Port Jefferson Station, New York. Qualified in 2020, 6 years ago. Practices with New York University, a 5,884-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2021
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Practice location Address checks out

1500 Route 112
Port Jefferson Station, NY 11776-8054
Phone: (631) 849-6688
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 047023 (NY)

Record details

NPI number1366027690
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 17, 2021
Last updated in NPPESMarch 17, 2021
Certification dateMarch 17, 2021
Mailing address435 Sayville Blvd, Sayville, NY 11782-2015

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Port Jefferson Station