Healthcare Provider Details

I. General information

NPI: 1114871589
Provider Name (Legal Business Name): DRASHTI PATEL PHYSICAL THERAPY P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2026
Last Update Date: 02/23/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 CANAL RD
PORT JEFFERSON STATION NY
11776-3068
US

IV. Provider business mailing address

530 CANAL RD
PORT JEFFERSON STATION NY
11776-3068
US

V. Phone/Fax

Practice location:
  • Phone: 707-972-2427
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. DRASHTI PATEL
Title or Position: OWNER
Credential:
Phone: 707-972-2427