Long Island Chiropractic & Physical Therapy, PLLC
NPI 1417207028 · Chiropractor · Smithtown, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Long Island Chiropractic & Physical Therapy, PLLC is a Chiropractor organization in Smithtown, NY (NPI 1417207028).
Provider details
- NPI number
- 1417207028
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Donald Wallace, President(631) 360-0170
Specialties & taxonomies
Chiropractic Providers
- Physical Therapist225100000X
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
13 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
- 2012-09-12
- Last updated
- 2012-11-19
Frequently asked questions
- What is Long Island Chiropractic & Physical Therapy, PLLC's NPI number?
- Long Island Chiropractic & Physical Therapy, PLLC's National Provider Identifier (NPI) is 1417207028, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Long Island Chiropractic & Physical Therapy, PLLC?
- Long Island Chiropractic & Physical Therapy, PLLC is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Long Island Chiropractic & Physical Therapy, PLLC located?
- Long Island Chiropractic & Physical Therapy, PLLC's practice location on file with NPPES is 20 Gilbert Ave, Smithtown, NY 11787.
- What is Long Island Chiropractic & Physical Therapy, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Long Island Chiropractic & Physical Therapy, PLLC is (631) 724-1991.
- Does Long Island Chiropractic & Physical Therapy, PLLC accept Medicare?
- Long Island Chiropractic & Physical Therapy, PLLC 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 Long Island Chiropractic & Physical Therapy, PLLC?
- The authorized official listed on Long Island Chiropractic & Physical Therapy, PLLC's NPPES record is Donald Wallace, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Long Island Chiropractic & Physical Therapy, PLLC's NPI active?
- Yes — Long Island Chiropractic & Physical Therapy, PLLC's NPI (1417207028) is active in the NPPES registry as of the last update on 2012-11-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.