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

Bayside Physical Therapy&rehabilitation PC

Organization Specialist · NPI 1396961132

Bayside Physical Therapy&rehabilitation PC is a Specialist in New York, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
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

345 E 94th St
New York, NY 10128-5684
Phone: (212) 534-1500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 10504-01 (NY)

Record details

NPI number1396961132
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Liza Tan — President · (718) 459-3311
NPI enumeratedApril 18, 2007
Last updated in NPPESAugust 22, 2020
Mailing address10840 66th Ave, Forest Hills, NY 11375-2242

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