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

Wyckoff Physical Therapy PC

Organization Physical Therapy Clinic/Center · NPI 1629442793

Wyckoff Physical Therapy PC is a Physical Therapy Clinic/Center in Ridgewood, New York. Registered with an NPI since 2015.

In the registry since
2015
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

6805 Fresh Pond Rd
Ridgewood, NY 11385-5200
Phone: (718) 456-2543
Fax: (718) 559-6784
Show map & directions

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

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X

Record details

NPI number1629442793
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jenny Tan — Billing & Collection Dept. Head · (718) 456-2543
NPI enumeratedNovember 30, 2015
Last updated in NPPESMay 20, 2016
Mailing address201 Saint Nicholas Ave, Brooklyn, NY 11237-4840

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