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

Source of Physical Therapy PC

Organization Physical Medicine & Rehabilitation Physician · NPI 1619317815

Source of Physical Therapy PC is a Physical Medicine & Rehabilitation Physician in Corona, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013
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

4051 Junction Blvd Fl 2
Corona, NY 11368-2121
Phone: (718) 880-8468
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 025885 (NY)

Record details

NPI number1619317815
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Margarita Muguruza — Owner · (718) 880-8468
NPI enumeratedJuly 2, 2013
Last updated in NPPESJuly 2, 2013
Mailing address4051 Junction Blvd Fl 2, Corona, NY 11368-2121

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