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

Mr. Jeffrey Lackowitz, PT

Individual provider Physical Therapist · NPI 1326140328

Mr. Jeffrey Lackowitz, PT is a Physical Therapist in Private Practice in Patchogue, New York. Qualified in 1993, 33 years ago. Practices with New York University, a 5,884-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
33
Licensed in
NY
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

440 Waverly Ave Ste 5
Patchogue, NY 11772-1597
Phone: (631) 758-5700
Fax: (631) 758-7005
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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 014079-1 (NY)

Record details

NPI number1326140328
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 1, 2006
Last updated in NPPESFebruary 13, 2008
Mailing address440 Waverly Ave Ste 5, Patchogue, NY 11772-1597

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1993 (33 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

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