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

Pro Form Physical Therapy PC

Organization Specialist · NPI 1740621697

Pro Form Physical Therapy PC is a Specialist in Bronx, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013
Specialties on file
2
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

1973 University Ave
Bronx, NY 10453-4404
Phone: (718) 618-0052
Fax: (718) 534-4135
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 025663 (NY)
Specialist Taxonomy 174400000X · Licence 021421 (NY)

Record details

NPI number1740621697
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sam Hanna — Owner/Physical Therapist · (917) 545-9249
NPI enumeratedJuly 8, 2013
Last updated in NPPESMarch 1, 2016
Mailing address95-22 63rd Road, Suite 412, Rego Park, NY 11374-1142

Other providers in Bronx