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FORM PHYSICAL THERAPY P.C.
NPI 1962359224
Physical Therapist - Orthopedic in New York, NY

Active since March 14, 2026
93 WORTH ST, NEW YORK, NY 10013(617) 971-6422 Get Directions Write a Review

NPPES record last updated: March 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Form Physical Therapy P.c. NPPES

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

FORM PHYSICAL THERAPY P.C. (NPI 1962359224) is a healthcare organization registered as an orthopedic in New York, New York and active in the NPI registry since March 2026. The organization maintains a secondary practice location in New York and lists Brandon Ong, President, as its authorized official.

NPPES Registry Identity

NPI1962359224
Entity TypeOrganization
Primary Taxonomy2251X0800X
Legal Business NameFORM PHYSICAL THERAPY P.C.
Location Address93 WORTH STNew York, NY 10013-3412
Mailing Address432 E 89th St Apt 1aNew York, NY 10128-6772
Phone(617) 971-6422
Organization SubpartNo
Authorized OfficialBrandon OngPresident · (617) 971-6422
Enumeration DateMarch 14, 2026
NPPES CertifiedMarch 14, 2026
✔ NPI 1962359224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
93 WORTH ST, New York, NY 10013
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Secondary Practice Location 1

Location 11767 Park AveNew York, NY 10035-1901 · Phone (617) 971-6422 ext. 1

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

EYE AND HEALTH TRIBECA INC
Optometrist
93 WORTH ST
NEW YORK, NY 10013
New York County (212) 431-4059

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 Form Physical Therapy P.C.'s NPI number?

The NPI number for Form Physical Therapy P.C. is 1962359224. It was assigned to this organization in the NPPES registry on March 14, 2026.

Where is Form Physical Therapy P.C. located?

Form Physical Therapy P.C. is located at 93 Worth St, New York, NY 10013. The listed phone number is (617) 971-6422.

What is Form Physical Therapy P.C.'s specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

When was this NPI record last updated?

The NPPES record for Form Physical Therapy P.C. was last updated on March 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.