Jefferson Sports & Physical Therapy, PC
NPI 1407083686 · Physical Therapist · Manorville, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jefferson Sports & Physical Therapy, PC is a Physical Therapist organization in Manorville, NY (NPI 1407083686).
Provider details
- NPI number
- 1407083686
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Brian Heim, Owner/Physical Therapist(631) 928-2277
- License
- 007458 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
Mailing address
Registry dates
- Enumerated
- 2009-06-16
- Last updated
- 2022-07-20
- Certified
- 2022-07-20
Frequently asked questions
- What is Jefferson Sports & Physical Therapy, PC's NPI number?
- Jefferson Sports & Physical Therapy, PC's National Provider Identifier (NPI) is 1407083686, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jefferson Sports & Physical Therapy, PC?
- Jefferson Sports & Physical Therapy, PC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jefferson Sports & Physical Therapy, PC located?
- Jefferson Sports & Physical Therapy, PC's practice location on file with NPPES is 460 County Road 111, Manorville, NY 11949.
- What is Jefferson Sports & Physical Therapy, PC's phone number?
- The practice phone number listed in the NPPES registry for Jefferson Sports & Physical Therapy, PC is (631) 909-8712.
- Does Jefferson Sports & Physical Therapy, PC accept Medicare?
- Jefferson Sports & Physical Therapy, PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jefferson Sports & Physical Therapy, PC?
- The authorized official listed on Jefferson Sports & Physical Therapy, PC's NPPES record is Brian Heim, Owner/Physical Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jefferson Sports & Physical Therapy, PC's NPI active?
- Yes — Jefferson Sports & Physical Therapy, PC's NPI (1407083686) is active in the NPPES registry as of the last update on 2022-07-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.