NEW FORM PHYSICAL THERAPY P.C.
NPI 1053078170
Physical Therapist - Electrophysiology, Clinical in Brooklyn, NY

Q: What is New Form Physical Therapy P.C.'s NPI number?

The NPI number for New Form Physical Therapy P.C. is 1053078170. It was assigned to this organization in the NPPES registry on November 23, 2021.

Q: What is New Form Physical Therapy P.C.'s specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Electrophysiology, Clinical, with taxonomy code 2251E1300X.

Active since November 23, 2021

1711 RALPH AVE, BROOKLYN, NY 11236(718) 649-6356 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 15, 2025, Nov 23, 2021 (2 updates tracked since 2021).

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About New Form Physical Therapy P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEW FORM PHYSICAL THERAPY P.C. (NPI 1053078170) is a healthcare organization registered as an electrophysiology, clinical in Brooklyn, New York and active in the NPI registry since November 2021. The organization lists Rinku Kuril, Owner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053078170

Entity TypeOrganization

Primary Taxonomy2251E1300X

Legal Business NameNEW FORM PHYSICAL THERAPY P.C.

Location Address1711 RALPH AVEBrooklyn, NY 11236-3319

Mailing Address14004 Rockingham RdGermantown, MD 20874-2250

Phone(718) 649-6356

Organization SubpartNo

Authorized OfficialRinku KurilOwner, Ceo · (917) 282-0238

Enumeration DateNovember 23, 2021

Last NPPES UpdateMay 15, 20252 updates tracked since enumeration

NPPES CertifiedMay 15, 2025

✔ NPI 1053078170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · Electrophysiology, ClinicalRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251E1300X

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Clinical Electrophysiologic Physical Therapy, who has demonstrated specialized knowledge and skill in electrophysiologic examinations and evaluations and encompasses both the professional and technical components of the observation, recording, analysis, and interpretation of bioelectric muscle and nerve potentials, detected by means of surface or needle electrodes, for the purpose of evaluating the integrity of the neuromuscular system. Electrophysiologic evaluations include, but are not limited to, electrodiagnostic testing, which includes clinical needle electromyography, motor and sensory nerve conduction studies, and other evoked potential procedures.

1711 RALPH AVE, Brooklyn, NY 11236

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OLANREWAJU ADEOSUN MD

Internal Medicine