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

Bayside Rehab PT PC

Organization Physical Therapist · NPI 1578197000

Bayside Rehab PT PC is a Physical Therapist in Bayside, New York. Registered with an NPI since 2020.

In the registry since
2020
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

20801 Northern Blvd Ste 3
Bayside, NY 11361-3120
Phone: (347) 777-9707
Fax: (332) 777-1842
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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 number1578197000
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marievic Ebora Fernando — Manager · (347) 777-9707
NPI enumeratedFebruary 24, 2020
Last updated in NPPESFebruary 24, 2020
Certification dateFebruary 24, 2020
Mailing address20801 Northern Blvd Ste 3, Bayside, NY 11361-3120

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