FRESH POND PHYSICAL THERAPY ASTORIA, P.C.
NPI 1477819084
Physical Therapist in Astoria, NY
About Fresh Pond Physical Therapy Astoria, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FRESH POND PHYSICAL THERAPY ASTORIA, P.C. (NPI 1477819084) is a healthcare organization registered as a physical therapist in Astoria, New York and active in the NPI registry since April 2012. The organization lists Liza Tan, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fresh Pond Physical Therapy Astoria, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Fresh Pond Physical Therapy Astoria, P.C., which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Fresh Pond Physical Therapy Astoria, P.C.'s NPI number?
The NPI number for Fresh Pond Physical Therapy Astoria, P.C. is 1477819084. It was assigned to this organization in the NPPES registry on April 9, 2012.
Where is Fresh Pond Physical Therapy Astoria, P.C. located?
Fresh Pond Physical Therapy Astoria, P.C. is located at 4618 Broadway, Astoria, NY 11103. The listed phone number is (718) 274-4200.
What is Fresh Pond Physical Therapy Astoria, P.C.'s specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Fresh Pond Physical Therapy Astoria, P.C. enrolled in Medicare?
Yes. Fresh Pond Physical Therapy Astoria, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fresh Pond Physical Therapy Astoria, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Fresh Pond Physical Therapy Astoria, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Fresh Pond Physical Therapy Astoria, P.C. was last updated on May 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.