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Professional Orthopedic and Sports Physical Therapy, PC

Physical Therapist in Queens Village, NY · enumerated 2019 · authorized official Kathleen Brush, Credentialing Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1689233181

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Registry record

Entity type Organization (Type 2)
Legal business name Professional Orthopedic and Sports Physical Therapy, PC
Practice address 22005 Hillside Ave, C/O Blink, Queens Village, NY, 11427
Phone (718) 400-8330
Fax (718) 400-8340
Enumeration date Jun 8, 2019
Last updated in NPPES Jun 8, 2019

Taxonomy & classification

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Primary

Authorized official

Name Kathleen Brush
Title Credentialing Manager
Phone (631) 359-5805

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.

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Frequently asked questions

What type of organization is Professional Orthopedic and Sports Physical Therapy, PC?
Professional Orthopedic and Sports Physical Therapy, PC is registered in NPPES as a Physical Therapist (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-06-08.