Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Back to Life PT PC

Organization Physical Therapist · NPI 1558905745

Back to Life PT PC is a Physical Therapist in New York, New York. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

460 Grand St
New York, NY 10002-4058
Phone: (347) 294-6669
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1558905745
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shimaa Hashem — Owner · (347) 294-6669
NPI enumeratedOctober 31, 2019
Last updated in NPPESApril 26, 2020
Certification dateApril 26, 2020
Mailing address460 Grand St, New York, NY 10002-4058

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