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

Tina M Elderbaum, PT

Individual provider Physical Therapist · NPI 1821049065

Tina M Elderbaum, PT is a Physical Therapist in Private Practice in Nesconset, New York. Qualified in 1999, 27 years ago. Practices with T L C Physical Therapy, PC, a 3-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
27
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

197 Smithtown Blvd
Nesconset, NY 11767-1849
Phone: (631) 863-1290
Fax: (631) 863-3090
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 0208991 (NY)

Record details

NPI number1821049065
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 12, 2006
Last updated in NPPESMarch 14, 2008
Mailing address197 Smithtown Blvd, Nesconset, NY 11767-1849

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice T.L.C.Physical Therapy,P.C. — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Nesconset