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

Form Physical Therapy PC

Organization Orthopedic Physical Therapist · NPI 1962359224

Form Physical Therapy PC is an Orthopedic Physical Therapist in New York, New York. Works from 2 locations. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

93 Worth St
New York, NY 10013-3412
Phone: (617) 971-6422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1767 Park Ave, New York, NY 10035-1901 — (617) 971-6422

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X

Record details

NPI number1962359224
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brandon Ong — President · (617) 971-6422
NPI enumeratedMarch 14, 2026
Last updated in NPPESMarch 14, 2026
Certification dateMarch 14, 2026
Mailing address432 E 89th St Apt 1a, New York, NY 10128-6772

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