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NPI Code Detail

MEDICARE: MR. PETER KEVIN JOHNSTONE JR. MSPT

MEDICARE:  MR. PETER KEVIN JOHNSTONE JR. MSPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist022846NY
22251N0400XNeurology Physical Therapist022846NY
32251S0007XSports Physical Therapist022846NY
42251X0800XOrthopedic Physical Therapist022846NY

General Provider Information

NPI Number : 1801841937
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PETER KEVIN JOHNSTONE JR. MSPT
Provider Business Mailing Address
First Line : 2650 PINE NECK RD
Second Line :
City : SOUTHOLD
State : NY
Zip : 11971-1910
Country : US
Telephone Number : 631-765-3620
Fax Number : 631-765-0013
Provider Business Practice Location Address
First Line : 57190 MAIN RD
Second Line :
City : SOUTHOLD
State : NY
Zip : 11971-4750
Country : US
Telephone Number : 631-765-3620
Fax Number : 631-765-0013
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2006
Last Update Date : 09/11/2025

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Directions to “ MR. PETER KEVIN JOHNSTONE JR. MSPT” Practice Location

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