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 Therapy Clinic/Center · NPI 1962885491

Fresh Pond Physical Therapy, PC is a Physical Therapy Clinic/Center in Ridgewood, New York. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015
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 0363571 (NY)

Record details

NPI number1962885491
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationFresh Pond Physical Therapy, PC
Authorized official Dexter Bongato — Staff Physical Therapist · (718) 456-2545
NPI enumeratedJuly 1, 2015
Last updated in NPPESJuly 20, 2015
Mailing address6805 Fresh Pond Rd, Ridgewood, NY 11385-5200

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