Form Physical Therapy Lifestyle Wellness PLLC
Form Physical Therapy Lifestyle Wellness PLLC is a Physical Therapist in Bayside, New York. Registered with an NPI since 2026.
- In the registry since
- 2026
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
21426 41st Ave Ste 110Bayside, NY 11361-2149
Phone: (718) 279-9800
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X |
|---|
Record details
| NPI number | 1629903760 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Dan Thomas — Practice Administrator · (833) 442-2053 |
| NPI enumerated | June 17, 2026 |
| Last updated in NPPES | June 17, 2026 |
| Certification date | June 17, 2026 |
| Mailing address | 21426 41st Ave Ste 110, Bayside, NY 11361-2149 |
Other providers in Bayside
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Mr. Michael Dominic Ditucci, PT
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Kellie Dunfee, PT, DPT
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Elite Physical Therapy Ny PC
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Joann Ferrara, PT
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Mr. Benjamin Gabionza, PT
23102 67th Ave, Bayside, NY 11364-2706 · (718) 423-8747
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Yujin Gang, RPT
21915A Northern Blvd, Bayside, NY 11361-3525 · (718) 423-3400
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Alaina Gangi, PT, DPT
2901 216th St, Bayside, NY 11360-2810 · (718) 281-8800
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Mr. Vito Anthony Genova, DPT
4562 Bell Blvd, Bayside, NY 11361-3355 · (718) 281-2861