PORT JEFFERSON PHYSICAL THERAPY PC
NPI 1497887756
Physical Therapist - Orthopedic in Port Jefferson Station, NY
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
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Port Jefferson Physical Therapy Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Port Jefferson Physical Therapy PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Port Jefferson Physical Therapy PC enrolled in Medicare?
Yes. Port Jefferson Physical Therapy PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Port Jefferson Physical Therapy PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Port Jefferson Physical Therapy PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Port Jefferson Physical Therapy Pc · NPI 1497887756
Orthopedic organization in Port Jefferson Station, New York. Organization record, active in the CMS NPPES registry since March 12, 2007.
## Identity
- **NPI:** 1497887756 (Entity type: Organization)
- **Enumerated:** March 12, 2007
- **Primary specialty:** Physical Therapist - Orthopedic · taxonomy 2251X0800X
- **Organization subpart:** No
- **Authorized official:** Roger Wetsell, OWNER
## Practice location
- **Address:** 300 HALLOCK AVE, Port Jefferson Station, NY 11776-1227
- **Phone:** (631) 331-1070 · **Fax:** (631) 331-1126
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1497887756) · Data from the CMS NPPES public registry.