FRESH POND PHYSICAL THERAPY, P.C
NPI 1508844036
Clinic/Center - Physical Therapy in Ridgewood, NY
About Fresh Pond Physical Therapy, P.c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FRESH POND PHYSICAL THERAPY, P.C (NPI 1508844036) is a healthcare organization registered as a physical therapy in Ridgewood, New York and active in the NPI registry since January 2006. The organization lists Jenny Tan, Billing & Collection Dept. Head, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 9
Other Identifiers 5
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, P.c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
34Medicare enrollment records show 34 clinicians reassign Medicare billing to Fresh Pond Physical Therapy, P.C, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 28 within 10 miles. Listed here are the 20 practicing nearest to this location.
Nearest to this location (20)
See all 34Source: 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, P.C's NPI number?
The NPI number for Fresh Pond Physical Therapy, P.C is 1508844036. It was assigned to this organization in the NPPES registry on January 4, 2006.
Where is Fresh Pond Physical Therapy, P.C located?
Fresh Pond Physical Therapy, P.C is located at 6805 Fresh Pond Rd, Ridgewood, NY 11385. The listed phone number is (718) 456-2545.
What is Fresh Pond Physical Therapy, P.C's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Fresh Pond Physical Therapy, P.C enrolled in Medicare?
Yes. Fresh Pond Physical Therapy, P.C is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fresh Pond Physical Therapy, P.C?
According to the CMS Revalidation Reassignment List (October 2026 release), 34 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Fresh Pond Physical Therapy, 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, 6 practice at this address and 28 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, 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.
# Fresh Pond Physical Therapy, P.c · NPI 1508844036
Physical Therapy organization in Ridgewood, New York. Organization record, active in the CMS NPPES registry since January 4, 2006.
## Identity
- **NPI:** 1508844036 (Entity type: Organization)
- **Enumerated:** January 4, 2006
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Organization subpart:** No
- **Authorized official:** Jenny Tan, BILLING & COLLECTION DEPT. HEAD
## Practice location
- **Address:** 6805 FRESH POND RD, Ridgewood, NY 11385-5200
- **Phone:** (718) 456-2545 · **Fax:** (718) 559-6784
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 34 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 6 practice at this address and 28 within 10 miles; [full list](https://npiprofile.com/npi/1508844036/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 20, 2016
- **Other identifiers:** Other P2666818 (NY); Other QQ1073 (NY); Medicaid 02184710 (NY); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1508844036) · Data from the CMS NPPES public registry.