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

Individual provider Physical Therapist · NPI 1962508077

Peter Paul Powanda, PT is a Physical Therapist in Northport, New York. Licensed in New York. Registered with an NPI since 2006.

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

79 Middleville Rd
Northport, NY 11768-2200
Phone: (631) 261-4400
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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 62024179 (NY)

Record details

NPI number1962508077
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 15, 2006
Last updated in NPPESJuly 13, 2007
Mailing address79 Middleville Rd, Northport, NY 11768-2200

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