South Bay Physical Therapy and Sports Rehabilitation PC
NPI 1649318460 · Physical Therapist · Islip, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
South Bay Physical Therapy and Sports Rehabilitation PC is a Physical Therapist organization in Islip, NY (NPI 1649318460).
Provider details
- NPI number
- 1649318460
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Cosmo Baccarella, President(631) 581-0006
- License
- 0240191 (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
Other names (DBA / former)
- Doing business as
- Great South Bay Physical Therapy & Sports Rehabilitation PC
Registry dates
- Enumerated
- 2007-02-02
- Last updated
- 2018-01-23
Frequently asked questions
- What is South Bay Physical Therapy and Sports Rehabilitation PC's NPI number?
- South Bay Physical Therapy and Sports Rehabilitation PC's National Provider Identifier (NPI) is 1649318460, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Bay Physical Therapy and Sports Rehabilitation PC?
- South Bay Physical Therapy and Sports Rehabilitation PC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is South Bay Physical Therapy and Sports Rehabilitation PC located?
- South Bay Physical Therapy and Sports Rehabilitation PC's practice location on file with NPPES is 393 Moffitt Blvd, Islip, NY 11751.
- What is South Bay Physical Therapy and Sports Rehabilitation PC's phone number?
- The practice phone number listed in the NPPES registry for South Bay Physical Therapy and Sports Rehabilitation PC is (631) 581-0006.
- Does South Bay Physical Therapy and Sports Rehabilitation PC accept Medicare?
- South Bay Physical Therapy and Sports Rehabilitation 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 South Bay Physical Therapy and Sports Rehabilitation PC?
- The authorized official listed on South Bay Physical Therapy and Sports Rehabilitation PC's NPPES record is Cosmo Baccarella, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Bay Physical Therapy and Sports Rehabilitation PC's NPI active?
- Yes — South Bay Physical Therapy and Sports Rehabilitation PC's NPI (1649318460) is active in the NPPES registry as of the last update on 2018-01-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.