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PRO FORM PHYSICAL THERAPY PC
NPI 1740621697
Specialist in Bronx, NY

Active since July 08, 2013
1973 UNIVERSITY AVE, BRONX, NY 10453(718) 618-0052(718) 534-4135 Get Directions Write a Review

NPPES record last updated: March 1, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pro Form Physical Therapy Pc NPPES

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

PRO FORM PHYSICAL THERAPY PC (NPI 1740621697) is a healthcare organization registered as a specialist in Bronx, New York and active in the NPI registry since July 2013. The organization lists Sam Hanna, Owner/physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1740621697
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePRO FORM PHYSICAL THERAPY PC
Location Address1973 UNIVERSITY AVEBronx, NY 10453-4404
Mailing Address95-22 63rd Road, Suite 412Rego Park, NY 11374-1142 · (718) 618-0052 · Fax (718) 534-4135
Phone(718) 618-0052
Fax(718) 534-4135
Organization SubpartNo
Authorized OfficialSam HannaOwner/physical Therapist · (917) 545-9249
Enumeration DateJuly 8, 2013
Last NPPES UpdateMarch 1, 2016
✔ NPI 1740621697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses✔ Licensed in NY · 025663✔ Licensed in NY · 021421
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1973 UNIVERSITY AVE, Bronx, NY 10453
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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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

FENAR THEMISTOCLE MD PLLC
Specialist
1973 UNIVERSITY AVE
BRONX, NY 10453
Bronx County (347) 730-4606
FENAR THEMISTOCLE MD
Anesthesiology (Pain Medicine)
1973 UNIVERSITY AVE
BRONX, NY 10453
Bronx County (718) 708-8000
CROSS COUNTY ANESTHESIA CONSULTANT PC
Anesthesiology (Pain Medicine)
1973 UNIVERSITY AVE
BRONX, NY 10453
Bronx County (718) 708-8000
ZOETH M STONE-EDWARDS NP
Specialist
1973 UNIVERSITY AVE
BRONX, NY 10453
Bronx County (718) 708-8000
INTERBOROUGH ANESTHESIA PLLC
Specialist
1973 UNIVERSITY AVE
BRONX, NY 10453
Bronx County (718) 708-8000

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 Pro Form Physical Therapy PC's NPI number?

The NPI number for Pro Form Physical Therapy PC is 1740621697. It was assigned to this organization in the NPPES registry on July 8, 2013.

Where is Pro Form Physical Therapy PC located?

Pro Form Physical Therapy PC is located at 1973 University Ave, Bronx, NY 10453. The listed phone number is (718) 618-0052.

What is Pro Form Physical Therapy PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Pro Form Physical Therapy PC was last updated on March 1, 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.