MEDICARE: VILLAGE PHYSICAL THERAPY, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1083771836
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VILLAGE PHYSICAL THERAPY, P.C.

Provider Business Mailing Address
First Line	:	433 FORT SALONGA RD
Second Line	:
City	:	NORTHPORT
State	:	NY
Zip	:	11768-3048
Country	:	US
Telephone Number	:	631-651-8644
Fax Number	:	631-651-8645

Provider Business Practice Location Address
First Line	:	433 FORT SALONGA RD
Second Line	:
City	:	NORTHPORT
State	:	NY
Zip	:	11768-3048
Country	:	US
Telephone Number	:	631-651-8644
Fax Number	:	631-651-8645

Authorized Official
Title or Position	:	OWNER
Name	:	WILLIAM E. BURNS JR.
Credential	:	P.T.
Telephone Number	:	631-651-8644

Provider Enumeration Date	:	01/02/2007
Last Update Date	:	12/07/2007

Similar Medicare Providers

1508872250 — WILLIAM E. BURNS JR. P.T.
Practice Location Address:

433 FORT SALONGA RD
NORTHPORT, NY
11768-3048

Practice Phone: 631-651-8644
Practice Fax: 631-651-8645

1225305972 — MARY LOUISE KEMP
Practice Location Address:

2710 DEER HAVEN DR
NORTHPORT, AL
35473-3048

Practice Phone: 205-292-4998
Practice Fax: 205-333-9163

1053686089 — FOUR WINDS/FOUR SEASONS ASSISTED LIVING HOMES,LLC
Practice Location Address:

2710 DEER HAVEN DR
NORTHPORT, AL
35473-3048

Practice Phone: 205-292-4998
Practice Fax:

1508750969 — KELLY LU
Practice Location Address:

79 MIDDLEVILLE RD
NORTHPORT, NY
11768-2200

Practice Phone: 631-261-4400
Practice Fax:

1306013446 — JOHN CHRIS ALEXOPOULOS M.D.
Practice Location Address:

79 MIDDLEVILLE RD
NORTHPORT, NY
11768-2296

Practice Phone: 631-261-4400
Practice Fax: 631-863-4878

1750094868 — CLARE KELLER LCSW
Practice Location Address:

79 MIDDLEVILLE RD # SWS122
NORTHPORT, NY
11768-2200

Practice Phone: 631-261-4400
Practice Fax:

Directions to “VILLAGE PHYSICAL THERAPY, P.C. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.