Island Sports Physiotherapy PC
A Medicare group practice based in East Northport, NY: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 4082503040), with 12 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 4082503040
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- NY
- Enrollments
- 1
- Group size
- 7 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20090521000077 | NY | Part B Supplier - Clinic/Group Practice | 1366482408 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Island Sports Physiotherapy, PC
- Physical Therapy Clinic/Center
- East Northport, NY
- NPI 1366482408
-
Island Sports Physiotherapy, PC
- Physical Therapy Clinic/Center
- Huntington Station, NY
- NPI 1558300202
Practice locations
- Huntington, NY1
- East Northport, NY1
Clinicians 12
Clinicians who reassign their Medicare benefits to this group (12) or whom Care Compare lists as members (7).
-
Jillian Beck, D.P.T.
- Physical Therapist
- Huntington Station, NY
- NPI 1881094746
-
Andrew Robert Caccamo
- Physical Therapist
- Smithtown, NY
- NPI 1619630738
-
Robert Ciani, MSPT
- Physical Therapist
- Huntington, NY
- NPI 1609883487
-
Stephen Daniel Cicalese, P.T.
- Physical Therapist
- Garden City, NY
- NPI 1093824948
-
Chiara Lisette Deriso, PT, DPT
- Physical Therapist
- East Northport, NY
- NPI 1649938580
-
Kathryn L Haas, PT, DPT
- Physical Therapist
- Syosset, NY
- NPI 1952752925
-
Graceanne Lopez
- Physical Therapist
- East Northport, NY
- NPI 1184389413
-
Keith A May, P.T.
- Physical Therapist
- East Northport, NY
- NPI 1821034414
-
Brendan P McCann, MSPT
- Physical Therapist
- Huntington Station, NY
- NPI 1770726788
-
Stacy Lynn Riley, PT
- Physical Therapist
- East Northport, NY
- NPI 1215244611
-
Brandon Trupia, DPT
- Physical Therapist
- Huntington Station, NY
- NPI 1447728191
-
Christopher D. Wild, P.T., D.P.T.
- Physical Therapist
- Raleigh, NC
- NPI 1619278892
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.