# PROSPORTS PHYSICAL THERAPY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902928138
- **Authorized official:** MICHAEL LACASSE P.T. (OWNER)
- **Authorized official phone:** (631) 424-1100

## Contact information

- **Practice address:** 467 NEW YORK AVE, HUNTINGTON, NY 11743-3441
- **Practice address phone:** (631) 424-1100
- **Practice address fax:** (631) 424-1105
- **Mailing address:** 467 NEW YORK AVE, HUNTINGTON, NY 11743-3441
- **Mailing address phone:** (631) 424-1100
- **Mailing address fax:** (631) 424-1105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 7489 | NY | Yes |

## Other

- **Enumeration date:** 04/06/2007
- **Last updated:** 08/18/2025