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

Green Light Physical Therapy PC

Organization Physical Therapist · NPI 1508291212

Green Light Physical Therapy PC is a Physical Therapist in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013
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

2761 Bath Ave Bas 1
Brooklyn, NY 11214-5551
Phone: (718) 872-7801
Fax: (718) 872-7803
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 032199 (NY)

Record details

NPI number1508291212
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stella Dvorin — President · (718) 872-7801
NPI enumeratedSeptember 12, 2013
Last updated in NPPESSeptember 12, 2013
Mailing address2761 Bath Ave, Bas 1, Brooklyn, NY 11214-5551

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