NPIMap

Organization Active NPI

Suffolk Physical Therapy & Chiropractic, PLLC

  • Chiropractor
  • Melville, NY
National Provider Identifier
1417564253
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SUFFOLK PHYSICAL THERAPY & CHIROPRACTIC, PLLC
Practice address
740 Walt Whitman Rd
Melville, NY 11747-2212
Phone
(631) 646-2256
Fax
(631) 249-1793
NPI assigned
Sep 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Authorized official

Name
Thomas F DowNPI 1346566692
Title
Managing Member
Phone
(631) 249-0011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X

Addresses

Primary practice location

740 Walt Whitman Rd
Melville, NY 11747-2212

Mailing address

PO Box 1359
Melville, NY 11747-0308
Phone (631) 646-2256

Other practice location 1

350 Veterans Memorial Hwy
Commack, NY 11725-4316
Phone (631) 646-2536

Other practice location 2

1050 Old Nichols Rd
Islandia, NY 11749-5026
Phone (631) 646-2433

Other practice location 3

1041 Route 112
Port Jefferson Station, NY 11776-6000
Phone (631) 646-2041

Other names 1

  • Suffolk Physical Therapy & Chiropractic Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210120001130 NY Part B Supplier - Clinic/Group Practice 3072927763 Receives reassigned benefits from 15 practitioners
Practice locations: Islandia, NY; Melville, NY; Port Jefferson Station, NY

National Provider Directory

National Provider Directory

Locations

535 Broadhollow Rd
Ste A22
Melville, NY 11747
Phone (631) 249-0011

1041 Route 112
Port Jefferson Station, NY 11776
Phone (631) 646-2041

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769644800000",
    "number": "1417564253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1359",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117470308",
            "telephone_number": "631-646-2256",
            "fax_number": "631-249-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 WALT WHITMAN RD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117472212",
            "telephone_number": "631-646-2256",
            "fax_number": "631-249-1793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 Veterans Memorial Hwy",
            "address_purpose": "LOCATION",
            "city": "Commack",
            "state": "NY",
            "postal_code": "117254316",
            "country_code": "US",
            "telephone_number": "631-646-2536",
            "fax_number": "631-249-1793",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 Old Nichols Rd",
            "address_purpose": "LOCATION",
            "city": "Islandia",
            "state": "NY",
            "postal_code": "117495026",
            "country_code": "US",
            "telephone_number": "631-646-2433",
            "fax_number": "631-249-1793",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1041 Route 112",
            "address_purpose": "LOCATION",
            "city": "Port Jefferson Station",
            "state": "NY",
            "postal_code": "117766000",
            "country_code": "US",
            "telephone_number": "631-646-2041",
            "fax_number": "631-249-1793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUFFOLK PHYSICAL THERAPY & CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-25",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A",
        "authorized_official_last_name": "DOW",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "631-249-0011"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suffolk Physical Therapy & Chiropractic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Melville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.