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

Executive Park Orthopedic & Sports Physical Therapy LLC

Organization Orthopedic Physical Therapist · NPI 1649392283

Executive Park Orthopedic & Sports Physical Therapy LLC is an Orthopedic Physical Therapist in Yonkers, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1034 N Broadway 2nd Fl
Yonkers, NY 10701-1303
Phone: (914) 509-4640
Fax: (914) 509-4639
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 023806 (NY)

Record details

NPI number1649392283
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ivan Hernandez — President · (914) 509-4640
NPI enumeratedApril 4, 2007
Last updated in NPPESApril 23, 2024
Certification dateApril 23, 2024
Mailing address1034 N Broadway, 2nd Floor, Yonkers, NY 10701-1328

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