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

N/A

Organization Physical Therapy Clinic/Center · NPI 1134676588

N/A is a Physical Therapy Clinic/Center in Staten Island, New York. Licensed in New York. Registered with an NPI since 2016.

Licensed in
NY
In the registry since
2016

Practice location Address checks out

25 Fanning St
Staten Island, NY 10314-5307
Phone: (718) 698-2475
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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 039429 (NY)

Record details

NPI number1134676588
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Thomas — Physical Therapist · (718) 619-0170
NPI enumeratedSeptember 1, 2016
Last updated in NPPESSeptember 1, 2016
Mailing address657 Collfield Ave, Staten Island, NY 10314-4258

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