Healthcare Provider Details

I. General information

NPI: 1811869084
Provider Name (Legal Business Name): RECOVRY PHYSICAL THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2025
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 PROSPECT ST
HUNTINGTON NY
11743-3318
US

IV. Provider business mailing address

18 PROSPECT ST
HUNTINGTON NY
11743-3318
US

V. Phone/Fax

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

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 AND PT
Credential:
Phone: 631-629-1261