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

New Form Physical Therapy PC

Organization Clinical Electrophysiology Physical Therapist · NPI 1053078170

New Form Physical Therapy PC is a Clinical Electrophysiology Physical Therapist in Brooklyn, New York. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1711 Ralph Ave
Brooklyn, NY 11236-3319
Phone: (718) 649-6356
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Electrophysiology Physical Therapist (primary) Taxonomy 2251E1300X

Record details

NPI number1053078170
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rinku Kuril — Owner, Ceo · (917) 282-0238
NPI enumeratedNovember 23, 2021
Last updated in NPPESMay 15, 2025
Certification dateMay 15, 2025
Mailing address14004 Rockingham Rd, Germantown, MD 20874-2250

Other providers in Brooklyn