Provider Type Icon

OLYMPUS PT PC NPI 1215428370


NPI Information

NPI: 1215428370
Provider Name: OLYMPUS PT PC
Classification: Physical Medicine & Rehabilitation - 2081S0010X
Entity Type: Organization

Specialization: Sports Medicine

Address:
694 FORT SALONGA RD
NORTHPORT, NY
ZIP 11768
Phone: (631) 754-3775
Get Directions

OLYMPUS PT PC is a sports medicine physical medicine rehabilitation in Northport, NY. The provider is a physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. OLYMPUS PT PC NPI is 1215428370. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

694 FORT SALONGA RD
NORTHPORT, NY
ZIP 11768-147
Phone: (631) 754-3775
Fax: (631) 754-3816

The provider's authorized official is Quennie Ladao-soto .
The authorized official title is Owner and has the following contact phone number (914) 444-6235.

The enumeration date for this NPI number is 5/24/2018 and was last updated on 10/13/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12081S0010XPhysical Medicine & RehabilitationSports Medicine032114NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.