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

Natan Theise, DPT

Individual provider Physical Therapist · NPI 1306507116

Natan Theise, DPT is a Physical Therapist in Private Practice in Forest Hills, New York. Qualified in 2021, 5 years ago. Practices with Soma Physical and Occupational Therapy PLLC, a 4-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2022
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

10740 Queens Blvd Ste 207
Forest Hills, NY 11375-4252
Phone: (718) 261-3100
Fax: (718) 261-2915
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X
Physical Therapist Taxonomy 225100000X · Licence 048315 (NY)

Record details

NPI number1306507116
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedJanuary 4, 2022
Last updated in NPPESJanuary 4, 2022
Certification dateDecember 13, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Soma Physical And Occupational Therapy Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Forest Hills