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OLYMPUS PT PC
NPI 1215428370
Physical Medicine & Rehabilitation - Sports Medicine in Northport, NY

Active since May 24, 2018
694 FORT SALONGA RD, NORTHPORT, NY 11768(631) 754-3775(631) 754-3816 Get Directions Write a Review

NPPES record last updated: October 13, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 13, 2020, May 24, 2018 (2 updates tracked since 2018).

About Olympus Pt Pc NPPES

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

OLYMPUS PT PC (NPI 1215428370) is a healthcare organization registered as a sports medicine in Northport, New York and active in the NPI registry since May 2018. The organization lists Quennie Ladao-soto, Owner, as its authorized official.

NPPES Registry Identity

NPI1215428370
Entity TypeOrganization
Primary Taxonomy2081S0010X
Legal Business NameOLYMPUS PT PC
Location Address694 FORT SALONGA RDNorthport, NY 11768-3147
Mailing Address2403 64th St Apt 1fBrooklyn, NY 11204-3449 · (914) 444-6235
Phone(631) 754-3775
Fax(631) 754-3816
Organization SubpartNo
Authorized OfficialQuennie Ladao-sotoOwner · (914) 444-6235
Enumeration DateMay 24, 2018
Last NPPES UpdateOctober 13, 20202 updates tracked since enumeration
NPPES CertifiedOctober 13, 2020
✔ NPI 1215428370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
License✔ Licensed in NY · 032114
Definition
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
694 FORT SALONGA RD, Northport, NY 11768
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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 4

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

MR. SUNDAR VISWANATHAN PT
Specialist
694 FORT SALONGA RD, SUITE 2
NORTHPORT, NY 11768
Suffolk County (631) 623-6371
MARINA STAUFFER, REGISTERED DIETITIAN, CERTIFIED DIETITIAN NUTRITIONIS
Dietitian, Registered
694 FORT SALONGA RD
NORTHPORT, NY 11768
Suffolk County (631) 374-6371
MR. MICHAEL T LEOGRANDE JR. MSPT
Physical Therapist
694 FORT SALONGA RD
NORTHPORT, NY 11768
Suffolk County (631) 734-3775
DR. COLIN CONNORS DC
Chiropractor
694 FORT SALONGA RD
NORTHPORT, NY 11768
Suffolk County (631) 754-3775

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 Olympus Pt PC's NPI number?

The NPI number for Olympus Pt PC is 1215428370. It was assigned to this organization in the NPPES registry on May 24, 2018.

Where is Olympus Pt PC located?

Olympus Pt PC is located at 694 Fort Salonga Rd, Northport, NY 11768. The listed phone number is (631) 754-3775.

What is Olympus Pt PC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

When was this NPI record last updated?

The NPPES record for Olympus Pt PC was last updated on October 13, 2020. 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.