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

Executive Park Physical Therapy

Organization Physical Therapist · NPI 1013044353

Executive Park Physical Therapy is a Physical Therapist in Yonkers, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007

Practice location Address checks out

1034 N Broadway
Yonkers, NY 10701-1303
Phone: (914) 509-4640
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 023806 (NY)

Record details

NPI number1013044353
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ivan Hernandez — Owner · (914) 509-4640
NPI enumeratedFebruary 27, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1034 N Broadway, Yonkers, NY 10701-1303

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