Provider profile · NPI 1053718957

410 Physical Therapy Pc

Physical Therapist · Jamaica, NY · NPI 1053718957 · No federal exclusion match

✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.

Registry details

Type

Organization

Primary specialty

Physical Therapist

Enumerated

Nov 21, 2014

License(s)

024252 (NY)

Addresses on file

PurposeAddressCity/StatePhone
MAILING9050 PARSONS BLVD STE 410 Jamaica, NY 11432-6052718-687-2474
LOCATION9050 PARSONS BLVD STE 410 Jamaica, NY 11432-6052718-687-2474

View on NPPES registry ↗

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