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

Mrs. Poornima Rathika Prabhu, PTA

Individual provider Physical Therapy Assistant · NPI 1558237172

Mrs. Poornima Rathika Prabhu, PTA is a Physical Therapy Assistant in Bethpage, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2025
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

28 N Sheridan Ave
Bethpage, NY 11714-3611
Phone: (646) 204-0607
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 009497-01 (NY)

Record details

NPI number1558237172
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedOctober 13, 2025
Last updated in NPPESOctober 13, 2025
Certification dateOctober 12, 2025

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