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

Organization Physical Therapist · NPI 1821480021

Breakaway Physical Therapy PLLC is a Physical Therapist in New York, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2015
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

212 W 91st St Apt 425
New York, NY 10024-1333
Phone: (646) 484-1410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 212 W 91st St, New York, NY 10024-1327 — (347) 668-9651

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 031329-1 (NY)

Record details

NPI number1821480021
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alan Snyder — Physical Therapist · (646) 484-1410
NPI enumeratedFebruary 24, 2015
Last updated in NPPESApril 16, 2019
Mailing address212 W 91st St Apt 425, New York, NY 10024-1333

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