Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Pro Form Physical Therapy PC

Organization Specialist · NPI 1740621697

Pro Form Physical Therapy PC provides Specialist services 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 →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1973 University Ave
Bronx, NY 10453-4404 Not confirmed with CMS for 10 years — call before visiting
Phone: (718) 618-0052
Fax: (718) 534-4135
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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