Healthcare Provider Details

I. General information

NPI: 1306701685
Provider Name (Legal Business Name): DC PHYSICAL THERAPY SERVICES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 NICOLLS RD
WHEATLEY HEIGHTS NY
11798-2315
US

IV. Provider business mailing address

100 NICOLLS RD
WHEATLEY HEIGHTS NY
11798-2315
US

V. Phone/Fax

Practice location:
  • Phone: 516-234-4473
  • 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: DENISE CRAWFORD
Title or Position: PHYSICAL THERAPIST
Credential: DPT, PT
Phone: 516-234-4473