Organization Active NPI

Deer Park Chiropractic and Physical Therapy PLLC

  • Physical Therapist
  • Deer Park, NY
National Provider Identifier
1841024171
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DEER PARK CHIROPRACTIC AND PHYSICAL THERAPY PLLC
Practice address
1848 Deer Park Ave
Deer Park, NY 11729-4318
Phone
(631) 502-0008
Fax
(516) 605-2203
NPI assigned
Aug 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Authorized official

Name
Annie Joseph, PTNPI 1871964080
Title
Member
Phone
(631) 885-3831

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
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1848 Deer Park Ave
Deer Park, NY 11729-4318

Mailing address

1848 Deer Park Ave
Deer Park, NY 11729-4318
Phone (631) 502-0008

National Provider Directory

National Provider Directory

Locations

1848 Deer Park Ave
Deer Park, NY 11729
Phone (631) 502-0008

265 N Broadway
Hicksville, NY 11801
Phone (516) 605-2200

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1841024171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1848 DEER PARK AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117294318",
            "telephone_number": "631-502-0008",
            "fax_number": "631-502-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1848 DEER PARK AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117294318",
            "telephone_number": "631-502-0008",
            "fax_number": "516-605-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEER PARK CHIROPRACTIC AND PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-29",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "631-885-3831",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deer Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.