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

Fitness Forum Physical and Occupational Therapy, PLLC

Organization Physical Therapist · NPI 1700170545

Fitness Forum Physical and Occupational Therapy, PLLC is a Physical Therapist in De Witt, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

5719 Widewaters Pkwy
De Witt, NY 13214-1985
Phone: (315) 478-0380
Fax: (315) 478-0388
Show map & directions

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

Specialties & licences

Hand Occupational Therapist (primary) Taxonomy 225XH1200X · Licence 007223-1 (NY)
Physical Therapist Taxonomy 225100000X · Licence 011796-1 (NY)

Record details

NPI number1700170545
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Linkiewicz — President · (315) 478-0380
NPI enumeratedJune 8, 2011
Last updated in NPPESJuly 12, 2011
Mailing address231 Walton St, Suite 200, Syracuse, NY 13202-1885

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