ADVANCED S.P.O.R.T.S. PHYSICAL THERAPY OF MILLER PLACE
NPI 1851819023
Physical Medicine & Rehabilitation - Sports Medicine in Miller Place, NY
About Advanced S.p.o.r.t.s. Physical Therapy Of Miller Place NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVANCED S.P.O.R.T.S. PHYSICAL THERAPY OF MILLER PLACE (NPI 1851819023) is a healthcare organization registered as a sports medicine in Miller Place, New York and active in the NPI registry since September 2017. The organization lists Tanya Stephanie Dumornay, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 7
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)
Advanced S.p.o.r.t.s. Physical Therapy Of Miller Place is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Advanced S.P.O.R.T.S. Physical Therapy Of Miller Place, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
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 Fam Physical Therapy Of Miller Place PC's NPI number?
The NPI number for Fam Physical Therapy Of Miller Place PC is 1851819023. It was assigned to this organization in the NPPES registry on September 7, 2017. The provider is doing business as Advanced S.P.O.R.T.S. Physical Therapy Of Miller Place.
Where is Fam Physical Therapy Of Miller Place PC located?
Fam Physical Therapy Of Miller Place PC is located at 275 Route 25A, Miller Place, NY 11764. The listed phone number is (631) 364-8114.
What is Fam Physical Therapy Of Miller Place PC's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.
Is Fam Physical Therapy Of Miller Place PC enrolled in Medicare?
Yes. Fam Physical Therapy Of Miller Place PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fam Physical Therapy Of Miller Place PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Fam Physical Therapy Of Miller Place 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 (4) and Physical Medicine and Rehabilitation (1). Of these, 1 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 Fam Physical Therapy Of Miller Place PC was last updated on September 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Advanced S.p.o.r.t.s. Physical Therapy Of Miller Place · NPI 1851819023
Sports Medicine organization in Miller Place, New York. Organization record, active in the CMS NPPES registry since September 7, 2017.
## Identity
- **NPI:** 1851819023 (Entity type: Organization)
- **Enumerated:** September 7, 2017
- **Primary specialty:** Physical Medicine & Rehabilitation - Sports Medicine · taxonomy 2081S0010X
- **Legal business name:** Fam Physical Therapy Of Miller Place Pc
- **Organization subpart:** No
- **Authorized official:** Tanya Dumornay, MANAGER
## Practice location
- **Address:** 275 ROUTE 25A, Miller Place, NY 11764-2427
- **Phone:** (631) 364-8114 · **Fax:** (631) 364-8117
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Physical Therapist in Private Practice (4), Physical Medicine and Rehabilitation (1); 1 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 7, 2017
- **Other identifiers:** Other P3151561 (NY); Other 813473 (NY); Other 218211P (NY); and 4 more
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Source: [NPI Profile](https://npiprofile.com/npi/1851819023) · Data from the CMS NPPES public registry.