OrganizationThree Village Physical Therapy Pllc(<Unavail>)Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address97 Main St, Suite F, Stony Brook, NY 11790-1937(631) 355-2120PECOS EnrollmentBased on the most recent information from CMS, provider Three Village Physical Therapy Pllc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1831260504Provider TypeOrganizationFull NameThree Village Physical Therapy PllcOther Name<Unavail>SubpartNoEnumeration Date11/13/2006Last Updated11/10/2013Contact InformationPractice LocationPractice Address97 Main St, Suite F, Stony Brook, NY 11790-1937Phone(631) 355-2120Fax(843) 686-4000Mailing LocationMailing Address6 Outpost Ln, Hilton Head Island, SC 29928-3802Phone(631) 355-2120Fax(843) 686-4000Authorized OfficialNameDayton, Robert E (President)Phone(631) 355-2120Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense014253-1New York