Sports Physical Therapy Occupational Therapy and Rehabilitation Servic

Organization Active NPI Hand Occupational Therapist · Staten Island, NY

NPI 1780202192 · NPPES record last updated Jul 7, 2026

Key facts

NPI
1780202192
Entity type
Organization (NPI type 2)
Primary specialty
Hand Occupational Therapist 225XH1200X
Legal business name
SPORTS PHYSICAL THERAPY OCCUPATIONAL THERAPY AND REHABILITATION SERVIC
Practice address
3311 Hylan Blvd
Staten Island, NY 10306-3611
Phone
(718) 448-3210
NPI assigned
Jul 12, 2020
Organization subpart
No

Authorized official

Name
Brian Krebs, PT
Title
Vice President
Phone
(516) 321-7805

Corporate family (same tax ID) 25

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Sports PT OT Rehab Service (26 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225XH1200X Yes

Addresses

Primary practice location

3311 Hylan Blvd
Staten Island, NY 10306-3611

Mailing address

972 Brush Hollow Rd FL 4
Westbury, NY 11590-1740
Phone (516) 474-2816

Other providers in Staten Island, NY

All providers in Staten Island, NY · Hand Occupational Therapist in New York

Sources for this page

Verify at the official NPI Registry.