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EAST END SPORTS CHIROPRACTIC, PC
NPI 1215280276
Chiropractor - Sports Physician in Sag Harbor, NY

Active since October 16, 2012
39 DIVISION ST, GROUND FLR, 2ND OFFC FROM REAR, SAG HARBOR, NY 11963(631) 725-8209(631) 919-1592 Get Directions Write a Review

NPPES record last updated: October 16, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About East End Sports Chiropractic, Pc NPPES

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

EAST END SPORTS CHIROPRACTIC, PC (NPI 1215280276) is a healthcare organization registered as a sports physician in Sag Harbor, New York and active in the NPI registry since October 2012. The organization lists Stephen James Petruccelli, Chiropractor/owner, as its authorized official.

NPPES Registry Identity

NPI1215280276
Entity TypeOrganization
Primary Taxonomy111NS0005X
Legal Business NameEAST END SPORTS CHIROPRACTIC, PC
Location Address39 DIVISION ST, GROUND FLR, 2ND OFFC FROM REARSag Harbor, NY 11963-3156
Mailing AddressPo Box 2902Sag Harbor, NY 11963-0401 · (631) 725-8209 · Fax (631) 919-1592
Phone(631) 725-8209
Fax(631) 919-1592
Organization SubpartNo
Authorized OfficialStephen James PetruccelliChiropractor/owner · (631) 725-8209
Enumeration DateOctober 16, 2012
✔ NPI 1215280276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
License✔ Licensed in NY · X010203-1
Definition
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
39 DIVISION ST, Sag Harbor, NY 11963
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Other Identifiers 1

Medicare UPINU87714NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEVIN ANTHONY MENARD LAC
Acupuncturist
39 DIVISION ST
SAG HARBOR, NY 11963
Suffolk County (917) 689-2153
MENARD ACUPUNCTURE, P.C.
Acupuncturist
39 DIVISION ST
SAG HARBOR, NY 11963
Suffolk County (631) 899-4112

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 East End Sports Chiropractic, PC's NPI number?

The NPI number for East End Sports Chiropractic, PC is 1215280276. It was assigned to this organization in the NPPES registry on October 16, 2012.

Where is East End Sports Chiropractic, PC located?

East End Sports Chiropractic, PC is located at 39 Division St Ground Flr, 2nd Offc From Rear, Sag Harbor, NY 11963. The listed phone number is (631) 725-8209.

What is East End Sports Chiropractic, PC's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

When was this NPI record last updated?

The NPPES record for East End Sports Chiropractic, PC was last updated on October 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.