Healthcare Provider Details

I. General information

NPI: 1164331385
Provider Name (Legal Business Name): ALIGN SPORTS THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

63 UNQUOWA RD
FAIRFIELD CT
06824-5059
US

IV. Provider business mailing address

63 UNQUOWA RD
FAIRFIELD CT
06824-5059
US

V. Phone/Fax

Practice location:
  • Phone: 516-680-7301
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SAM KAVARSKY
Title or Position: CHIROPRACTOR
Credential: DC
Phone: 516-680-7301