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

Excelsior Physical Medicine and Rehabilitation, PC

Organization Physical Medicine & Rehabilitation Physician · NPI 1013850866

Excelsior Physical Medicine and Rehabilitation, PC is a Physical Medicine & Rehabilitation Physician in Woodside, New York. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
4
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

5314 Roosevelt Ave
Woodside, NY 11377-4239
Phone: (718) 206-7434
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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
Physical Therapist Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1013850866
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peng Zhao — Director · (718) 206-7434
NPI enumeratedApril 14, 2026
Last updated in NPPESApril 14, 2026
Certification dateMarch 31, 2026
Mailing address5314 Roosevelt Ave, Woodside, NY 11377-4239

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