LONG ISLAND SPORTS & REHABILITATION CENTER EAST, CO.
NPI 1063612943
Clinic/Center - Physical Therapy in Holbrook, NY

Active since July 19, 2007
4800 VETERANS HWY, HOLBROOK, NY 11741(631) 563-8400(631) 589-5582 Get Directions Write a Review

NPPES record last updated: October 5, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Long Island Sports & Rehabilitation Center East, Co. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LONG ISLAND SPORTS & REHABILITATION CENTER EAST, CO. (NPI 1063612943) is a healthcare organization registered as a physical therapy in Holbrook, New York and active in the NPI registry since July 2007. The organization lists Lois Cloud-malenczak, Director, as its authorized official.

NPPES Registry Identity

NPI1063612943
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameLONG ISLAND SPORTS & REHABILITATION CENTER EAST, CO.
Location Address4800 VETERANS HWYHolbrook, NY 11741-4512
Mailing Address4800 Veterans HwyHolbrook, NY 11741-4512 · (631) 563-8400 · Fax (631) 589-5582
Fax(631) 589-5582
Organization SubpartNo
Authorized OfficialLois Cloud-malenczakDirector · (631) 563-8400
Enumeration DateJuly 19, 2007
Last NPPES UpdateOctober 5, 2021
NPPES CertifiedOctober 5, 2021
✔ NPI 1063612943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
License✔ Licensed in NY · 00587-1
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
4800 VETERANS HWY, Holbrook, NY 11741

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Long Island Sports & Rehabilitation Center East, Co. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20120315000542Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Long Island Sports & Rehabilitation Center East, Co., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Physical Therapist in Private Practice
NPI 1932334240
4800 VETERANS MEMORIAL HWY
Holbrook, NY 11741
(631) 563-8400
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1780619429
1 CORPORATE DR
Bohemia, NY 11716
(631) 563-8400
✔ Accepts Medicare1.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Long Island Sports & Rehabilitation Center East, Co.'s NPI number?

The NPI number for Long Island Sports & Rehabilitation Center East, Co. is 1063612943. It was assigned to this organization in the NPPES registry on July 19, 2007.

Where is Long Island Sports & Rehabilitation Center East, Co. located?

Long Island Sports & Rehabilitation Center East, Co. is located at 4800 Veterans Hwy, Holbrook, NY 11741. The listed phone number is (631) 563-8400.

What is Long Island Sports & Rehabilitation Center East, Co.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Long Island Sports & Rehabilitation Center East, Co. enrolled in Medicare?

Yes. Long Island Sports & Rehabilitation Center East, Co. is registered in the Medicare PECOS enrollment system.

When is Long Island Sports & Rehabilitation Center East, Co.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Long Island Sports & Rehabilitation Center East, Co.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Long Island Sports & Rehabilitation Center East, Co.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Long Island Sports & Rehabilitation Center East, Co. was last updated on October 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.