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

Mamaroneck Physical Therapy PC

Organization Physical Therapist · NPI 1316222474

Mamaroneck Physical Therapy PC is a Physical Therapist in Elmhurst, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
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

8202 Grand Ave Ste 1A
Elmhurst, NY 11373-4133
Phone: (718) 606-0849
Fax: (718) 606-1077
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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 032724 (NY)

Record details

NPI number1316222474
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Bautista — Administrator · (718) 606-0849
Other names Physical Therapy Associate Of Queens
NPI enumeratedOctober 19, 2011
Last updated in NPPESOctober 19, 2011
Mailing address8202 Grand Ave, Suite 1a, Elmhurst, NY 11373-4133

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