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DEVINE PHYSICAL THERAPY, ACUPUNCTURE AND MASSAGE THERAPY, PLLC
NPI 1952830960
Clinic/Center - Multi-Specialty in Fort Salonga, NY

Active since June 05, 2017
10 FORT SALONGA RD STE 2A, FORT SALONGA, NY 11768(631) 320-1100(631) 343-7174 Get Directions Write a Review

NPPES record last updated: May 3, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 3, 2019, Mar 17, 2018, Jun 5, 2017 (3 updates tracked since 2017).

About Devine Physical Therapy, Acupuncture And Massage Therapy, Pllc NPPES

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

DEVINE PHYSICAL THERAPY, ACUPUNCTURE AND MASSAGE THERAPY, PLLC (NPI 1952830960) is a healthcare organization registered as a multi-specialty in Fort Salonga, New York and active in the NPI registry since June 2017. The organization maintains a secondary practice location in Ronkonkoma and lists Jennifer Olsen, Manager, as its authorized official.

NPPES Registry Identity

NPI1952830960
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameDEVINE PHYSICAL THERAPY, ACUPUNCTURE AND MASSAGE THERAPY, PLLC
Location Address10 FORT SALONGA RD STE 2AFort Salonga, NY 11768-1400
Mailing AddressPmb 373, 186 Seven Farms Drive, Ste FDaniel Island, SC 29492 · (516) 662-9962 · Fax (631) 343-7174
Phone(631) 320-1100
Fax(631) 343-7174
Organization SubpartNo
Authorized OfficialJennifer OlsenManager · (631) 320-1100
Enumeration DateJune 5, 2017
Last NPPES UpdateMay 3, 20193 updates tracked since enumeration
✔ NPI 1952830960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
10 FORT SALONGA RD STE 2A, Fort Salonga, NY 11768
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Secondary Practice Location 1

Location 1958 Portion RdRonkonkoma, NY 11779-1975 · Phone (631) 320-1100 · Fax (631) 320-1099

Other Providers at the Same Location NPPES 4

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

MRS. MARIA JEAN MIRISSIS MASSAGE THERAPIST
Massage Therapist
10 FORT SALONGA RD STE 2A
NORTHPORT, NY 11768
Suffolk County (631) 343-9194
EMILY PAPE
Physical Therapist
10 FORT SALONGA RD STE 2A
FORT SALONGA, NY 11768
Suffolk County (631) 343-9194
SUZANNE FISCHER LMT
Massage Therapist
10 FORT SALONGA RD STE 2A
FORT SALONGA, NY 11768
Suffolk County (631) 343-7174
ALYSSA GLICA LMT, CHHC
Massage Therapist
10 FORT SALONGA RD STE 2A
NORTHPORT, NY 11768
Suffolk County (631) 343-9194

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 Devine Physical Therapy, Acupuncture And Massage Therapy, PLLC's NPI number?

The NPI number for Devine Physical Therapy, Acupuncture And Massage Therapy, PLLC is 1952830960. It was assigned to this organization in the NPPES registry on June 5, 2017.

Where is Devine Physical Therapy, Acupuncture And Massage Therapy, PLLC located?

Devine Physical Therapy, Acupuncture And Massage Therapy, PLLC is located at 10 Fort Salonga Rd Ste 2A, Fort Salonga, NY 11768. The listed phone number is (631) 320-1100.

What is Devine Physical Therapy, Acupuncture And Massage Therapy, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Devine Physical Therapy, Acupuncture And Massage Therapy, PLLC was last updated on May 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.