BACK TO FORM PHYSICAL THERAPY, PC (NPI# 1407211097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407211097 |
| Entity Type | Organization |
| Organization Name | BACK TO FORM PHYSICAL THERAPY, PC |
| Practice Address |
18 E 41st St Suite 406 New York NY 10017-6222 |
| Mailing Address |
485 Central Park W Apt 3f New York NY 10025-3360 |
| Practice Telephone | 2127256600 |
| Mailing Telephone | 2127256600 |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2019-06-06 |
| Authorized Official Name | KYLE WARNER (OWNER) |
| Authorized Official Telephone | 9172918656 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 025701 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
18 E 41ST ST SUITE 406 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10017-6222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033134549 | Ashley Rae Boyle | Physical Therapist | 18 E 41st St, Suite 402, New York, NY 10017-6222 | 2006-07-13 |
| 1700327483 | Aas Physiatry, PC | Physical Medicine & Rehabilitation | 18 E 41st St, Suite 2002, New York, NY 10017-6222 | 2017-03-15 |
| 1023486610 | Kimberly Meehan | Psychiatry & Neurology | 18 E 41st St, Fl 14 C/o Lina, New York, NY 10017-6244 | 2015-09-13 |
| 1740601160 | Jeannette Zucker | Physical Therapist | 18 E 41st St, Suite 402, New York, NY 10017-6222 | 2014-01-02 |
| 1306180591 | Kara Darcy Mceneaney | Occupational Therapist | 18 E 41st St, 14th Floor, New York, NY 10017-6222 | 2012-11-12 |
| 1447506225 | Grand Central Medical P.C. | Internal Medicine | 18 E 41st St, Suite 406, New York, NY 10017-6222 | 2012-07-30 |
| 1750664066 | Antoinette Eileen Brown | Registered Nurse | 18 E 41st St, 14th Floor, New York, NY 10017-6222 | 2011-09-22 |
| 1730470865 | Lora Liu | Obstetrics & Gynecology | 18 E 41st St, Suite 2002, New York, NY 10017-6222 | 2011-04-24 |
| 1043500218 | Carolyn Thompson Chudy | Physical Medicine & Rehabilitation | 18 E 41st St, Suite 2002, New York, NY 10017-6222 | 2011-04-08 |
| 1174821748 | Tuere Wilson | Licensed Practical Nurse | 18 E 41st St, 14th Fl., New York, NY 10017-6222 | 2011-03-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700424702 | Amanda Arielle Grannum | Social Worker | 227 E 41st Street, New York, NY 10017 | 2019-12-20 |
| 1205399748 | Jasmine Marie Williams | Social Worker | Comprehensive Therapeutic Services, 450 Lexington Ave, Fourth Floor, New York, NY 10017 | 2019-04-11 |
| 1093208415 | Kaylin Salubro | Nurse Practitioner | 18 E 41st St Fl 12, New York, NY 10017 | 2018-06-11 |
| 1932698792 | Bryan Cordes | Social Worker | 295 Madison Avenue, Suite 707, New York, NY 10017 | 2018-05-08 |
| 1376048173 | Matthew Bernstein, M.d. Pllc | Psychiatry & Neurology | 370 Lexington Avenue, Suite 1001, New York, NY 10017 | 2018-03-26 |
| 1285137430 | Midtown East Podiatry and Foot Surgery L.L.C. | Podiatrist | 230 E 48th St., #1b, New York, NY 10017 | 2018-03-14 |
| 1831692136 | Olga S Pankiv | Nurse Practitioner | 545 5th Avenue Suite 817, 545 5th Avenue Suite 817, New York, NY 10017 | 2018-03-13 |
| 1023523198 | Randa Jaafar Md,pc | Pain Medicine | 340 East 49th St., Ground Floor, New York, NY 10017 | 2017-12-11 |
| 1962912154 | Yonatan Moshe Sobin | Psychologist | 370 Lexington Ave Rm 1000, New York, NY 10017 | 2017-10-03 |
| 1558880344 | Jendayi Polite | Counselor | 100 Park Ave Fl 16, New York, NY 10017 | 2017-09-13 |
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| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698267 | Sarah Whitlow | Physical Therapist | 169 E 90th St Apt 6, New York, NY 10128-2341 | 2020-10-26 |
| 1912506932 | Cara Nicole Poole | Physical Therapist | 124 W 60th St Apt 24h, New York, NY 10023-7454 | 2020-10-21 |
| 1649885567 | Diane Elizabeth Klein | Physical Therapist | 424 E 52nd St Apt 1c, New York, NY 10022-6583 | 2020-09-09 |
| 1033723051 | Chelsea Wellness Pt, Pllc | Physical Therapist | 260 E 78th St Apt 7, New York, NY 10075-2099 | 2020-09-08 |
| 1891309480 | David B Lee | Physical Therapist | 311 E 85th St Apt 3c, New York, NY 10028-4534 | 2020-09-01 |
| 1386256329 | Anna Holloway | Physical Therapist | 245 East 84th Street, Ground Floor, New York, NY 10028 | 2020-08-20 |
| 1982216073 | Yoo Rehabilitation Pt P.C. | Physical Therapist | 1 W 34th St Ste 402b, New York, NY 10001-3011 | 2020-08-19 |
| 1871103424 | Anthony Ross Tripodi | Physical Therapist | 165 W 46th St Ste 704, New York, NY 10036-2519 | 2020-08-07 |
| 1023627460 | Tessia Correa De Mattos | Physical Therapist | 415 Main St Apt 11a, New York, NY 10044-0357 | 2020-07-30 |
| 1760090898 | Allison Zheng | Physical Therapist | 201 E 86th St Apt 24b, New York, NY 10028-3076 | 2020-07-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.