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

Fresh Pond Physical Therapy, PC

Organization Physical Therapist · NPI 1508844036

Fresh Pond Physical Therapy, PC is a Physical Therapist in Ridgewood, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
Specialties on file
9
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

6805 Fresh Pond Rd
Ridgewood, NY 11385-5200
Phone: (718) 456-2545
Fax: (718) 559-6784
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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 · Licence 015401 (NY)
Physical Therapist Taxonomy 225100000X · Licence 015401 (NY)
Cardiopulmonary Physical Therapist Taxonomy 2251C2600X
Clinical Electrophysiology Physical Therapist Taxonomy 2251E1300X
Geriatric Physical Therapist Taxonomy 2251G0304X
Hand Physical Therapist Taxonomy 2251H1200X
Human Factors Physical Therapist Taxonomy 2251H1300X
Pediatric Physical Therapist Taxonomy 2251P0200X
Orthopedic Physical Therapist Taxonomy 2251X0800X

Record details

NPI number1508844036
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jenny Tan — Billing & Collection Dept. Head · (718) 456-2543
NPI enumeratedJanuary 4, 2006
Last updated in NPPESMay 20, 2016
Mailing address68-05 Fresh Pond Road, Ridgewood, NY 11385

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