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

Beacon Physical Therapy PC

Organization Physical Medicine & Rehabilitation Physician · NPI 1619512316

Beacon Physical Therapy PC is a Physical Medicine & Rehabilitation Physician in Staten Island, 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

16 Beacon Ave
Staten Island, NY 10306-1351
Phone: (212) 810-1881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X

Record details

NPI number1619512316
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official George Medrano — Owner · (212) 810-1881
NPI enumeratedNovember 17, 2019
Last updated in NPPESNovember 17, 2019
Mailing address16 Beacon Ave, Staten Island, NY 10306-1351

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