PATCHOGUE-MEDFORD PTDC
NPI 1255703807
Physical Therapist in Patchogue, NY

Active since October 22, 2015
105 MEDFORD AVE, PATCHOGUE, NY 11772(631) 617-5040(631) 617-5559 Get Directions Write a Review

NPPES record last updated: January 6, 2016. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Patchogue-medford Ptdc NPPES

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

PATCHOGUE-MEDFORD PTDC (NPI 1255703807) is a healthcare organization registered as a physical therapist in Patchogue, New York and active in the NPI registry since October 2015. The organization lists Jack Tesoriero, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1255703807
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NamePATCHOGUE-MEDFORD PT & CHIROPRACTIC PLLC
Location Address105 MEDFORD AVEPatchogue, NY 11772-1223
Mailing Address2103 Deer Park AveDeer Park, NY 11729-1317 · (631) 242-4500 · Fax (631) 242-0885
Fax(631) 617-5559
Organization SubpartNo
Authorized OfficialJack TesorieroManaging Member · (631) 617-5040
Enumeration DateOctober 22, 2015
Last NPPES UpdateJanuary 6, 2016
✔ NPI 1255703807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in NY · 025310
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Also ListedChiropractorTaxonomy 111N00000X · License 004766 (NY)
105 MEDFORD AVE, Patchogue, NY 11772

Other Names 1

Doing Business AsPatchogue-medford Ptdc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

Clinical Neuropsychologist
105 MEDFORD AVE
PATCHOGUE, NY 11772
Clinical Neuropsychologist
105 MEDFORD AVE
PATCHOGUE, NY 11772
Physical Therapist
105 MEDFORD AVE
PATCHOGUE, NY 11772
Chiropractor
105 MEDFORD AVE
PATCHOGUE, NY 11772
Chiropractor
105 MEDFORD AVE
PATCHOGUE, NY 11772
Chiropractor
105 MEDFORD AVE
PATCHOGUE, NY 11772
Family Medicine
105 MEDFORD AVE
PATCHOGUE, NY 11772
Physician Assistant
105 MEDFORD AVE
PATCHOGUE, NY 11772

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 Patchogue-Medford Pt & Chiropractic PLLC's NPI number?

The NPI number for Patchogue-Medford Pt & Chiropractic PLLC is 1255703807. It was assigned to this organization in the NPPES registry on October 22, 2015. The provider is doing business as Patchogue-Medford Ptdc.

Where is Patchogue-Medford Pt & Chiropractic PLLC located?

Patchogue-Medford Pt & Chiropractic PLLC is located at 105 Medford Ave, Patchogue, NY 11772. The listed phone number is (631) 617-5040.

What is Patchogue-Medford Pt & Chiropractic PLLC's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

When was this NPI record last updated?

The NPPES record for Patchogue-Medford Pt & Chiropractic PLLC was last updated on January 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.