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

Complete Body Physical Therapy 1 PC

Organization Specialist · NPI 1265730030

Complete Body Physical Therapy 1 PC is a Specialist in New York, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
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

22 W 19th St
New York, NY 10011-4204
Phone: (212) 248-3030
Fax: (212) 248-3033
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 026282-1 (NY)

Record details

NPI number1265730030
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bartosz Nikiciuk — Clinical Director · (212) 248-3030
NPI enumeratedMarch 3, 2011
Last updated in NPPESMarch 3, 2011
Mailing address80 John St, New York, NY 10038-2806

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