Individual
MR. PETER KEVIN JOHNSTONE JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
57190 MAIN RD, SOUTHOLD, NY 11971-4750
(631) 765-3620
(631) 765-0013
Mailing address
2650 PINE NECK RD, SOUTHOLD, NY 11971-1910
(631) 765-3620
(631) 765-0013
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
022846
NY
2251N0400X
Neurology Physical Therapist
022846
NY
2251S0007X
Sports Physical Therapist
022846
NY
2251X0800X
Orthopedic Physical Therapist
Primary
022846
NY
Other
Enumeration date
05/24/2006
Last updated
09/11/2025
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