VILLAGE PHYSICAL THERAPY, P.C.
NPI 1083771836
Clinic/Center - Physical Therapy in Northport, NY
About Village Physical Therapy, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VILLAGE PHYSICAL THERAPY, P.C. (NPI 1083771836) is a healthcare organization registered as a physical therapy in Northport, New York and active in the NPI registry since January 2007. The organization lists William E. Burns, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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)
Village Physical Therapy, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
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.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Village Physical Therapy, P.C., which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Village Physical Therapy, P.C.'s NPI number?
The NPI number for Village Physical Therapy, P.C. is 1083771836. It was assigned to this organization in the NPPES registry on January 2, 2007.
Where is Village Physical Therapy, P.C. located?
Village Physical Therapy, P.C. is located at 433 Fort Salonga Rd, Northport, NY 11768. The listed phone number is (631) 651-8644.
What is Village Physical Therapy, P.C.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Village Physical Therapy, P.C. enrolled in Medicare?
Yes. Village Physical Therapy, P.C. is registered in the Medicare PECOS enrollment system.
When is Village Physical Therapy, P.C.'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 March 31, 2027. 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 Village Physical Therapy, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Village Physical Therapy, P.C.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Village Physical Therapy, P.C. was last updated on December 7, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Village Physical Therapy, P.c. · NPI 1083771836
Physical Therapy organization in Northport, New York. Organization record, active in the CMS NPPES registry since January 2, 2007.
## Identity
- **NPI:** 1083771836 (Entity type: Organization)
- **Enumerated:** January 2, 2007
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Organization subpart:** No
- **Authorized official:** William Burns, OWNER
## Practice location
- **Address:** 433 FORT SALONGA RD, Northport, NY 11768-3048
- **Phone:** (631) 651-8644 · **Fax:** (631) 651-8645
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Physical Therapist in Private Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 7, 2007
- **Other identifiers:** Medicare PIN QAWTT1 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1083771836) · Data from the CMS NPPES public registry.