Healthcare Provider Details

I. General information

NPI: 1063022531
Provider Name (Legal Business Name): RECOVRY PHYSICAL THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2020
Last Update Date: 10/04/2025
Certification Date: 10/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 PROSPECT STREET
HUNTINGTON NY
11743
US

IV. Provider business mailing address

18 PROSPECT ST
HUNTINGTON NY
11743-3318
US

V. Phone/Fax

Practice location:
  • Phone: 631-629-1261
  • Fax: 631-479-1745
Mailing address:
  • Phone: 631-629-1261
  • Fax: 631-479-1745

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: KEVIN M. ALVES
Title or Position: OWNER
Credential: PT
Phone: 917-826-0264