Individual provider Active NPI

Sofoklis Sarellis

  • Physical Therapist
  • Islip, NY
National Provider Identifier
1467364505
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
056287 Issued in NY
Practice address
159 Islip Ave
Islip, NY 11751-3210
Phone
(631) 650-6347
NPI assigned
Sep 22, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 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 056287 NY Primary

Addresses

Primary practice location

159 Islip Ave
Islip, NY 11751-3210

Mailing address

159 Islip Ave
Islip, NY 11751-3210
Phone (631) 650-6347

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1467364505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 ISLIP AVE",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513210",
            "telephone_number": "631-650-6347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 ISLIP AVE",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513210",
            "telephone_number": "631-650-6347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARELLIS",
        "first_name": "SOFOKLIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "056287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.