Individual provider Active NPI

Regina Grace Powers, P.T.,M.S.

  • Physical Therapist
  • East Setauket, NY
National Provider Identifier
1114968872
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
008596-1 Issued in NY
Practice address
128 Old Town Rd
Lower Level @ Setauket Office Park
East Setauket, NY 11733-2064
Phone
(631) 444-5603
Fax
(631) 444-5604
NPI assigned
Jun 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 008596-1 NY Primary

Addresses

Primary practice location

128 Old Town Rd
Lower Level @ Setauket Office Park
East Setauket, NY 11733-2064

Mailing address

123 Hickory St
Port Jefferson Station, NY 11776-2117
Phone (631) 444-5603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051019000067 NY Practitioner - Physical Therapist in Private Practice 0446276596 Reassigns benefits to 1 organization
Practice locations: Setauket, NY

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

175 Main St
Suite 4
Setauket, NY 11733-2947
Phone (631) 444-5603

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
008596-1NYMDPhysical Therapist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1114968872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 HICKORY ST",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762117",
            "telephone_number": "631-444-5603",
            "fax_number": "631-444-5604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 OLD TOWN RD",
            "address_2": "LOWER LEVEL @ SETAUKET OFFICE PARK",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117332064",
            "telephone_number": "631-444-5603",
            "fax_number": "631-444-5604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWERS",
        "first_name": "REGINA",
        "middle_name": "GRACE",
        "name_prefix": "Ms.",
        "credential": "P.T.,M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "008596-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Setauket, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.