Patchogue-Medford Pt & Chiropractic Pllc
Patchogue-Medford Pt & Chiropractic Pllc is a healthcare organization registered as Physical Therapist in Patchogue, NY, holding Type 2 (organization) NPI 1255703807 since 2015. The authorized official on file is Jack Tesoriero, Managing Member.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1255703807 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Patchogue-Medford Pt & Chiropractic Pllc |
| Other name | <Unavail> |
| Practice address | 105 MEDFORD AVE, Patchogue, NY, 11772 |
| Phone | 6316175040 |
| Fax | 6316175559 |
| Enumeration date | 2015-10-22 |
| Last updated in NPPES | 2016-01-06 |
Authorized official
| Name | Jack Tesoriero |
|---|---|
| Title | Managing Member |
| Phone | 6316175040 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 111N00000X | Chiropractor | Secondary | 004766 | NY |
| 225100000X | Physical Therapist | Primary | 025310 | NY |
Copy-ready billing details
Provider: Patchogue-Medford Pt & Chiropractic Pllc NPI: 1255703807 Taxonomy: 225100000X (Physical Therapist) Address: 105 MEDFORD AVE, Patchogue, NY, 11772
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1235241670 | Island Musculoskeletal Care, M.D., P.C. | Organization | Physical Therapist | Patchogue, NY |
| 1750474946 | Angelo Biase | Individual | Chiropractor | Patchogue, NY |
| 1770665721 | Gary Dicanio | Individual | Family Medicine Physician | Patchogue, NY |
| 1639258825 | Andrew Farrago | Individual | Chiropractor | Patchogue, NY |
| 1114049871 | Robert B. Devinney, Ph.D. Psychologist PC | Organization | Clinical Neuropsychologist | Patchogue, NY |
| 1184922056 | Robert Devinney | Individual | Clinical Neuropsychologist | Patchogue, NY |
| 1801598479 | Osvaldo Moreira-Gonzalez | Individual | Physician Assistant | Patchogue, NY |
| 1235817313 | Great South Bay Chiropractic Office | Organization | Chiropractor | Patchogue, NY |
Verify this record
Cross-check NPI 1255703807 against the authoritative CMS record: view Patchogue-Medford Pt & Chiropractic Pllc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Patchogue-Medford Pt & Chiropractic Pllc?
What is the NPI number for Patchogue-Medford Pt & Chiropractic Pllc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-01-06.