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

Executive Physical Therapy PT

Organization Physical Therapy Clinic/Center · NPI 1497027700

Executive Physical Therapy PT is a Physical Therapy Clinic/Center in Jackson Heights, New York. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

7802 Roosevelt Ave Ste 212
Jackson Heights, NY 11372-6626
Phone: (718) 426-1515
Fax: (718) 426-0133
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X

Record details

NPI number1497027700
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Martha Anibal — Physical Therapy Administrator · (718) 426-1515
NPI enumeratedFebruary 1, 2012
Last updated in NPPESFebruary 22, 2013
Mailing address7802 Roosevelt Ave Ste 212, Jackson Heights, NY 11372-6626

Other providers in Jackson Heights