Port Jefferson Physical Therapy PC
NPI 1497887756 · Orthopedic Physical Therapist · Port Jefferson Station, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Port Jefferson Physical Therapy PC is a Orthopedic Physical Therapist organization in Port Jefferson Station, NY (NPI 1497887756).
Provider details
- NPI number
- 1497887756
- Entity type
- Organization
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Roger Wetsell, Owner(631) 331-1070
- License
- 002266 (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
19 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
- 2007-03-12
- Last updated
- 2020-08-22
Frequently asked questions
- What is Port Jefferson Physical Therapy PC's NPI number?
- Port Jefferson Physical Therapy PC's National Provider Identifier (NPI) is 1497887756, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Port Jefferson Physical Therapy PC?
- Port Jefferson Physical Therapy PC is classified in the NPPES registry as Orthopedic Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Port Jefferson Physical Therapy PC located?
- Port Jefferson Physical Therapy PC's practice location on file with NPPES is 300 Hallock Ave, Port Jefferson Station, NY 11776-1227.
- What is Port Jefferson Physical Therapy PC's phone number?
- The practice phone number listed in the NPPES registry for Port Jefferson Physical Therapy PC is (631) 331-1070.
- Does Port Jefferson Physical Therapy PC accept Medicare?
- Port Jefferson 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 Port Jefferson Physical Therapy PC?
- The authorized official listed on Port Jefferson Physical Therapy PC's NPPES record is Roger Wetsell, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Port Jefferson Physical Therapy PC's NPI active?
- Yes — Port Jefferson Physical Therapy PC's NPI (1497887756) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.