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STONYBROOK SOUTHAMPTON HOSPITAL
NPI 1376414904
Physical Therapist - Orthopedic in Southampton, NY

Active since September 16, 2025
240 MEETING HOUSE LN, SOUTHAMPTON, NY 11968(631) 726-8520 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stonybrook Southampton Hospital NPPES

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

STONYBROOK SOUTHAMPTON HOSPITAL (NPI 1376414904) is a healthcare organization registered as an orthopedic in Southampton, New York and active in the NPI registry since September 2025. The organization lists Nevin Johnson, Physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1376414904
Entity TypeOrganization
Primary Taxonomy2251X0800X
Legal Business NameSTONYBROOK SOUTHAMPTON HOSPITAL
Location Address240 MEETING HOUSE LNSouthampton, NY 11968-5009
Mailing Address240 Bernice DrEast Meadow, NY 11554-3502 · (516) 368-4907
Phone(631) 726-8520
Organization SubpartNo
Authorized OfficialNevin JohnsonPhysical Therapist · (516) 368-4907
Enumeration DateSeptember 16, 2025
NPPES CertifiedSeptember 16, 2025
✔ NPI 1376414904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
240 MEETING HOUSE LN, Southampton, NY 11968
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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 20

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

DR. KONSTADINOS J SPYRIS D.O.
Internal Medicine
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Suffolk County (631) 560-3219
MICHAEL AMERES MD
Emergency Medicine
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Suffolk County (631) 537-0318
ANTHONY JOHN VACCHIO
Internal Medicine
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Suffolk County (631) 726-8200
KATELYN ANNE PIERSON MS,RD,CDN
Dietitian, Registered
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Suffolk County (631) 726-8233
RAMI AZZAM
Student in an Organized Health Care Education/Training Program
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Suffolk County (631) 726-0409
CRYSTAL JOY
Physician Assistant (Medical)
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Suffolk County (631) 726-8476
TEIAH MOORE D.O.
Family Medicine
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Suffolk County (631) 726-0409
DR. RIDDHISH SHETH MD
Pathology (Hematology)
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Suffolk County (631) 726-8200

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 Stonybrook Southampton Hospital's NPI number?

The NPI number for Stonybrook Southampton Hospital is 1376414904. It was assigned to this organization in the NPPES registry on September 16, 2025.

Where is Stonybrook Southampton Hospital located?

Stonybrook Southampton Hospital is located at 240 Meeting House Ln, Southampton, NY 11968. The listed phone number is (631) 726-8520.

What is Stonybrook Southampton Hospital's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

When was this NPI record last updated?

The NPPES record for Stonybrook Southampton Hospital was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.