OrganizationActive
Prothera Medical
NPI 1225201262 · Physical Medicine & Rehabilitation Physician · Riverhead, NY
Provider details
- NPI number
- 1225201262
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mike Pappas, Physician(631) 424-1240
- License
- 222059 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1274 East Main Street
Riverhead, NY 11901
Phone: (631) 424-1240
Fax: (631) 424-1241
Street-level locationGet directions
Mailing address
1274 East Main Street
Riverhead, NY 11901
Registry dates
- Enumerated
- 2008-04-10
- Last updated
- 2008-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.