Sports Physical Therapy Occupationa Therapy and Rehabilitation Servic

NPI #1306706312 in Yaphank, New York

Provider Information

NPI Number: 1306706312
Entity Type: Organization
Organization Name: Sports Physical Therapy Occupationa Therapy and Rehabilitation Servic
Primary Specialty: Physical Therapist
Enumeration Date: Nov 12, 2025
Last Updated: Nov 12, 2025

Practice Location

Address: 1103 BOULEVARD E BLDG B
City: Yaphank
State: New York
ZIP Code: 11980-7515
Phone: (516) 536-3800

Authorized Official

Name: BRIAN KREBS, PT, DPT
Title: VP
Phone: (516) 321-7805

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Occupational Therapist - Hand — Hand	225XH1200X
Physical Therapist	225100000X	Primary

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