Kings Park Physical Therapy PC
NPI 1417922717 · Physical Therapist · Kings Park, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kings Park Physical Therapy PC is a Physical Therapist organization in Kings Park, NY (NPI 1417922717).
Provider details
- NPI number
- 1417922717
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Gregory Rahn, Pres Owner(631) 269-5170
- License
- 5555 (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
20 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
- 2006-02-21
- Last updated
- 2008-09-10
Frequently asked questions
- What is Kings Park Physical Therapy PC's NPI number?
- Kings Park Physical Therapy PC's National Provider Identifier (NPI) is 1417922717, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kings Park Physical Therapy PC?
- Kings Park Physical Therapy PC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Kings Park Physical Therapy PC located?
- Kings Park Physical Therapy PC's practice location on file with NPPES is 277 Indian Head Road, Kings Park, NY 11754-4803.
- What is Kings Park Physical Therapy PC's phone number?
- The practice phone number listed in the NPPES registry for Kings Park Physical Therapy PC is (631) 269-5170.
- Does Kings Park Physical Therapy PC accept Medicare?
- Kings Park 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 Kings Park Physical Therapy PC?
- The authorized official listed on Kings Park Physical Therapy PC's NPPES record is Gregory Rahn, Pres Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kings Park Physical Therapy PC's NPI active?
- Yes — Kings Park Physical Therapy PC's NPI (1417922717) is active in the NPPES registry as of the last update on 2008-09-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.