Sports Physical Therapy Occupational Therapy and Rehabilitation Servic

Organization Active NPI Hand Physical Therapist · Huntington, NY

NPI 1922451871 · NPPES record last updated Feb 19, 2025

Key facts

NPI
1922451871
Entity type
Organization (NPI type 2)
Primary specialty
Hand Physical Therapist 2251H1200X
Legal business name
SPORTS PHYSICAL THERAPY OCCUPATIONAL THERAPY AND REHABILITATION SERVIC
Practice address
1160 E Jericho Tpke
Suite 123
Huntington, NY 11743-5400
Phone
(631) 547-3400
NPI assigned
Jul 15, 2016
Organization subpart
No

Authorized official

Name
Daniel Vaknin, PT
Title
Vice President
Phone
(516) 321-7801

Other NPIs with the same Medicare PAC ID 19

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 25

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

Practitioners 529

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

View all 529

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20160713000375 NY DME Supplier - Independently-Practicing Physical Therapist
DME Supplier - Independently-Practicing Occupational Therapist
0446140446 Practice locations: Huntington, NY

National Provider Directory

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

Locations

1160 E Jericho Tpke
Ste 123
Huntington, NY 11743
Phone (631) 547-3400

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Physical Therapist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
2251H1200X Yes
Hand Occupational Therapist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
225XH1200X

Addresses

Primary practice location

1160 E Jericho Tpke
Suite 123
Huntington, NY 11743-5400

Mailing address

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

Other names

  • Sports Therapy And Rehabilitation Services Doing business as

Other providers in Huntington, NY

All providers in Huntington, NY · Hand Physical Therapist in New York

Sources for this page

Verify at the official NPI Registry.