Island Sports Physical Therapy of Coram PC
NPI 1083681613ActiveOrganization· Physical Therapist· Coram, NY
Physical Therapist in Coram, New York, registered in NPPES in March 2006. The authorized official on file is Kevin Roden, PT OCS, Director/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1083681613 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 2, 2006 |
| Last updated in NPPES | Mar 31, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
Other physical therapists in Coram
- 1043692031
- 1184000432
- 1194896266
- 1265718332
- 1376796326
- 1437932787
- 1477833432
- 1609922145
- 1669541025
- 1720455918
- 1730154899
- 1740804855
All 20 physical therapists in Coram · All physical therapists in New York