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

Parker Robert Bachisin

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1063261329

Parker Robert Bachisin is a Physical Therapist in Private Practice in Coram, New York. Qualified in 2024, 2 years ago. Practices with Island Sports Physical Therapy of Coram PC, a 5-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2024

Practice location Address checks out

607 Middle Country Rd
Coram, NY 11727-3362
Phone: (631) 732-3900
Fax: (631) 732-3908
Show map & directions

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

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 052647-01 (NY)

Record details

NPI number1063261329
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 17, 2024
Last updated in NPPESJuly 29, 2025
Certification dateJuly 29, 2025
Mailing address607 Middle Country Rd, Coram, NY 11727-3362

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Island Sports Physical Therapy Of Coram Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Coram