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PORT JEFFERSON PHYSICAL THERAPY PC
NPI 1497887756
Physical Therapist - Orthopedic in Port Jefferson Station, NY

Active since March 12, 2007
300 HALLOCK AVE, PORT JEFFERSON STATION, NY 11776(631) 331-1070(631) 331-1126 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Port Jefferson Physical Therapy Pc NPPES

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

PORT JEFFERSON PHYSICAL THERAPY PC (NPI 1497887756) is a healthcare organization registered as an orthopedic in Port Jefferson Station, New York and active in the NPI registry since March 2007. The organization lists Roger W Wetsell, Owner, as its authorized official.

NPPES Registry Identity

NPI1497887756
Entity TypeOrganization
Primary Taxonomy2251X0800X
Legal Business NamePORT JEFFERSON PHYSICAL THERAPY PC
Location Address300 HALLOCK AVEPort Jefferson Station, NY 11776-1227
Mailing Address300 Hallock AvePort Jefferson Station, NY 11776-1227 · (631) 331-1070 · Fax (631) 331-1126
Phone(631) 331-1070
Fax(631) 331-1126
Organization SubpartNo
Authorized OfficialRoger W WetsellOwner · (631) 331-1070
Enumeration DateMarch 12, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1497887756 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
License✔ Licensed in NY · 002266
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.
300 HALLOCK AVE, Port Jefferson Station, NY 11776
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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 3

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

MR. ROGER W WETSELL PT
Physical Therapist (Orthopedic)
300 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 331-1070
JOSHUA ADAM BRAVERMAN DPT
Physical Therapist
300 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 331-1070
WILLIAM SCHAUSS PT
Physical Therapist
300 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 331-1070

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 Port Jefferson Physical Therapy PC's NPI number?

The NPI number for Port Jefferson Physical Therapy PC is 1497887756. It was assigned to this organization in the NPPES registry on March 12, 2007.

Where is Port Jefferson Physical Therapy PC located?

Port Jefferson Physical Therapy PC is located at 300 Hallock Ave, Port Jefferson Station, NY 11776. The listed phone number is (631) 331-1070.

What is Port Jefferson Physical Therapy PC'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 Port Jefferson Physical Therapy PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.