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ORTHOSPORT PHYSICAL THERAPY PC NPI 1386650133


NPI Information

NPI: 1386650133
Provider Name: ORTHOSPORT PHYSICAL THERAPY PC
Classification: Physical Therapist - 2251X0800X
Entity Type: Organization

Specialization: Orthopedic

Address:
333 ROUTE 25A
STE 240
ROCKY POINT, NY
ZIP 11778
Phone: (631) 821-5500
Get Directions

ORTHOSPORT PHYSICAL THERAPY PC is an orthopedic physical therapist in Rocky Point, NY. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. ORTHOSPORT PHYSICAL THERAPY PC NPI is 1386650133. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

333 ROUTE 25A
STE 240
ROCKY POINT, NY
ZIP 11778-556
Phone: (631) 821-5500
Fax: (631) 821-5580

The provider's authorized official is Anthony Derosa .
The authorized official title is Owner and has the following contact phone number (631) 821-5500.

The enumeration date for this NPI number is 8/1/2006 and was last updated on 2/26/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251X0800XPhysical TherapistOrthopedic010676NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Q5WSZ1MEDICARE PINNEW YORK

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: 4/28/2024

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