Healthcare Provider Details

I. General information

NPI: 1174431332
Provider Name (Legal Business Name): ROBYN BERMAN PT, DPT, NCS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 S SERVICE RD
DIX HILLS NY
11746-6015
US

IV. Provider business mailing address

21 HASTINGS DR
NORTHPORT NY
11768-2508
US

V. Phone/Fax

Practice location:
  • Phone: 631-271-0777
  • Fax:
Mailing address:
  • Phone: 516-633-0291
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number038553
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: