Sports Physical Therapy Occupational Therapy and Rehabilitation Servic

NPI #1609756360 in Yaphank, New York

Provider Information

NPI Number: 1609756360
Entity Type: Organization
Organization Name: Sports Physical Therapy Occupational Therapy and Rehabilitation Servic
Primary Specialty: Physical Therapist
Enumeration Date: Sep 4, 2025
Last Updated: Jan 7, 2026

Practice Location

Address: 1103 BOULEVARD E BLDG B
Address 2: SUITE 101
City: Yaphank
State: New York
ZIP Code: 11980-7515
Phone: (516) 536-3800

Authorized Official

Name: BRIAN KREBS
Title: VP, STARS OPERATIONS
Phone: (516) 393-8858

Specialties & Taxonomy Codes

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

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