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NASSAU SPORTS PHYSICAL THERAPY
NPI 1588872113
Specialist in Mineola, NY

Active since May 18, 2007
300 OLD COUNTRY RD, SUITE 191, MINEOLA, NY 11501(516) 747-5050(516) 747-5929 Get Directions Write a Review

NPPES record last updated: January 9, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nassau Sports Physical Therapy NPPES

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

NASSAU SPORTS PHYSICAL THERAPY (NPI 1588872113) is a healthcare organization registered as a specialist in Mineola, New York and active in the NPI registry since May 2007. The organization lists Michael H. Gallagher, Owner, as its authorized official.

NPPES Registry Identity

NPI1588872113
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameNASSAU SPORTS PHYSICAL THERAPY & REHABILITATION PC
Location Address300 OLD COUNTRY RD, SUITE 191Mineola, NY 11501-4198
Mailing Address300 Old Country Rd, Suite 191Mineola, NY 11501-4198 · (516) 747-5050 · Fax (516) 747-5929
Phone(516) 747-5050
Fax(516) 747-5929
Organization SubpartNo
Authorized OfficialMichael H. GallagherOwner · (516) 747-5050
Enumeration DateMay 18, 2007
Last NPPES UpdateJanuary 9, 2023
NPPES CertifiedJanuary 9, 2023
✔ NPI 1588872113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 009165-1
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
300 OLD COUNTRY RD, Mineola, NY 11501
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Other Names 1

Doing Business AsNassau Sports Physical Therapy

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nassau Sports Physical Therapy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Nassau Sports Physical Therapy, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michael Gallagher, PT
Physical Therapist in Private Practice
NPI 1619037686
300 OLD COUNTRY RD SUITE 191
Mineola, NY 11501
(516) 747-5050
✔ Accepts MedicareSame address

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 Nassau Sports Physical Therapy & Rehabilitation PC's NPI number?

The NPI number for Nassau Sports Physical Therapy & Rehabilitation PC is 1588872113. It was assigned to this organization in the NPPES registry on May 18, 2007. The provider is doing business as Nassau Sports Physical Therapy.

Where is Nassau Sports Physical Therapy & Rehabilitation PC located?

Nassau Sports Physical Therapy & Rehabilitation PC is located at 300 Old Country Rd Suite 191, Mineola, NY 11501. The listed phone number is (516) 747-5050.

What is Nassau Sports Physical Therapy & Rehabilitation PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Nassau Sports Physical Therapy & Rehabilitation PC enrolled in Medicare?

Yes. Nassau Sports Physical Therapy & Rehabilitation PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nassau Sports Physical Therapy & Rehabilitation PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Nassau Sports Physical Therapy & Rehabilitation 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nassau Sports Physical Therapy & Rehabilitation PC was last updated on January 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.