PECONIC BAY PHYSICAL THERAPY & CHIROPRACTIC PLLC NPI 1720848302

NPI Information

  • NPI: 1720848302
  • Provider Name: PECONIC BAY PHYSICAL THERAPY & CHIROPRACTIC, PLLC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 200 E MAIN ST
    PATCHOGUE, NY
    ZIP 11772
  • Phone: (631) 800-0030

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NPI Details

PECONIC BAY PHYSICAL THERAPY & CHIROPRACTIC, PLLC is a chiropractor in Patchogue, NY. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. PECONIC BAY PHYSICAL THERAPY & CHIROPRACTIC, PLLC NPI is 1720848302. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

200 E MAIN ST
PATCHOGUE, NY
ZIP 11772-159
Phone: (631) 800-0030
Fax: (631) 800-0015

The provider's authorized official is Enza Reid .
The authorized official title is Office Manager and has the following contact phone number (631) 800-0030.

The enumeration date for this NPI number is 3/20/2024 and was last updated on 3/20/2024.

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
1111N00000XChiropractorYes
2225100000XPhysical TherapistNo

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: 11/21/2025

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