ISLAND SPINE & SPORTS MEDICINE PC
NPI 1710104641
Physical Therapist in Hicksville, NY
About Island Spine & Sports Medicine Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ISLAND SPINE & SPORTS MEDICINE PC (NPI 1710104641) is a healthcare organization registered as a physical therapist in Hicksville, New York and active in the NPI registry since April 2007. The organization lists Richard S Obedian, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
- 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.
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)
Island Spine & Sports Medicine Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Island Spine & Sports Medicine PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 Island Spine & Sports Medicine PC's NPI number?
The NPI number for Island Spine & Sports Medicine PC is 1710104641. It was assigned to this organization in the NPPES registry on April 20, 2007.
Where is Island Spine & Sports Medicine PC located?
Island Spine & Sports Medicine PC is located at 81 N Broadway, Hicksville, NY 11801. The listed phone number is (516) 933-4351.
What is Island Spine & Sports Medicine PC's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Island Spine & Sports Medicine PC enrolled in Medicare?
Yes. Island Spine & Sports Medicine PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Island Spine & Sports Medicine PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Island Spine & Sports Medicine 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. The largest specialties are Physical Therapist in Private Practice (3) and Orthopedic Surgery (1). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Island Spine & Sports Medicine 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.