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

Tasnim Faruque

Individual provider Physical Therapist · NPI 1104687672

Tasnim Faruque is a Physical Therapist in Private Practice in Great Neck, New York. Qualified in 2023, 3 years ago. Practices with Marathon Physical Therapy of Ny PC, an 8-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2024

Practice location Address checks out

556B Middle Neck Rd
Great Neck, NY 11023-1463
Phone: (516) 487-9810
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 051497-01 (NY)

Record details

NPI number1104687672
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 22, 2024
Last updated in NPPESJanuary 22, 2024
Certification dateJanuary 21, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Marathon Physical Therapy Of Ny Pc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Great Neck