BROADWAY PHYSICAL THERAPY LLC
NPI 1649280199
Clinic/Center - Physical Therapy in Staten Island, NY

Active since August 08, 2006
289 BROADWAY, STATEN ISLAND, NY 10310(718) 448-4500(718) 448-4506 Get Directions Write a Review

NPPES record last updated: December 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 11, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About Broadway Physical Therapy Llc NPPES

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

BROADWAY PHYSICAL THERAPY LLC (NPI 1649280199) is a healthcare organization registered as a physical therapy in Staten Island, New York and active in the NPI registry since August 2006. The organization lists Thobile Prudence Sibanda, Owner, as its authorized official.

NPPES Registry Identity

NPI1649280199
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameBROADWAY PHYSICAL THERAPY LLC
Location Address289 BROADWAYStaten Island, NY 10310-2004
Mailing Address289 BroadwayStaten Island, NY 10310-2004 · (718) 448-4500 · Fax (718) 448-4506
Fax(718) 448-4506
Organization SubpartNo
Authorized OfficialThobile Prudence SibandaOwner · (718) 448-4500
Enumeration DateAugust 8, 2006
Last NPPES UpdateDecember 11, 20232 updates tracked since enumeration
NPPES CertifiedDecember 11, 2023
NPI 1649280199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
License Licensed in NY · 016088
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.
289 BROADWAY, Staten Island, NY 10310

Other Identifiers 1

Medicaid02647758NY

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 Broadway Physical Therapy LLC's NPI number?

The NPI number for Broadway Physical Therapy LLC is 1649280199. It was assigned to this organization in the NPPES registry on August 8, 2006.

Where is Broadway Physical Therapy LLC located?

Broadway Physical Therapy LLC is located at 289 Broadway, Staten Island, NY 10310. The listed phone number is (718) 448-4500.

What is Broadway Physical Therapy LLC'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 Broadway Physical Therapy LLC was last updated on December 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.