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

Tati B Harsono, PT

Individual provider Physical Therapist · NPI 1407152622

Tati B Harsono, PT is a Physical Therapist in Private Practice in Farmingdale, New York. Qualified in 1999, 27 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
27
Licensed in
NY
In the registry since
2011
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

500 Bi County Blvd Ste 210N
Farmingdale, NY 11735-3988
Phone: (718) 264-1640
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 021060-1 (NY)

Record details

NPI number1407152622
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedFebruary 4, 2011
Last updated in NPPESFebruary 4, 2011
Mailing address384 Cedar Ave, Ridgewood, NJ 07450-5112

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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