GREAT WESTERN PHYSICAL THERAPY PC
NPI 1174162440
Clinic/Center - Physical Therapy in Astoria, NY

Active since January 03, 2020
3175 29TH ST APT A7, ASTORIA, NY 11106(929) 340-1606 Get Directions Write a Review

NPPES record last updated: January 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Great Western Physical Therapy Pc NPPES

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

GREAT WESTERN PHYSICAL THERAPY PC (NPI 1174162440) is a healthcare organization registered as a physical therapy in Astoria, New York and active in the NPI registry since January 2020. The organization lists Mark Davydov, Physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1174162440
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameGREAT WESTERN PHYSICAL THERAPY PC
Location Address3175 29TH ST APT A7Astoria, NY 11106-3328
Mailing Address3175 29th St Apt A7Astoria, NY 11106-3328 · (929) 340-1606
Organization SubpartNo
Authorized OfficialMark DavydovPhysical Therapist · (929) 340-1606
Enumeration DateJanuary 3, 2020
NPI 1174162440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
3175 29TH ST APT A7, Astoria, NY 11106

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Great Western Physical Therapy PC's NPI number?

The NPI number for Great Western Physical Therapy PC is 1174162440. It was assigned to this organization in the NPPES registry on January 3, 2020.

Where is Great Western Physical Therapy PC located?

Great Western Physical Therapy PC is located at 3175 29th St Apt A7, Astoria, NY 11106. The listed phone number is (929) 340-1606.

What is Great Western Physical Therapy PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

When was this NPI record last updated?

The NPPES record for Great Western Physical Therapy PC was last updated on January 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.