Organization · Type 2 NPI

New Form Physical Therapy P.c.

Clinical Electrophysiology Physical Therapist · Brooklyn, NY

NPI number 1053078170 Active

Practice location

1711 Ralph Ave
Brooklyn, NY 11236-3319

Call (718) 649-6356 Map

Mailing address

14004 Rockingham Rd
Germantown, MD 20874-2250

Specialties and licenses

TaxonomyCodeLicense
Clinical Electrophysiology Physical Therapist Primary 2251E1300XNone listed

Clinical Electrophysiology Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Clinical Electrophysiologic Physical Therapy, who has demonstrated specialized knowledge and skill in electrophysiologic examinations and evaluations and encompasses both the professional and technical components of the observation, recording, analysis, and interpretation of bioelectric muscle and nerve p…

8 other providers at this address

About NPI 1053078170

New Form Physical Therapy P.c.'s National Provider Identifier is 1053078170, issued on Nov 23, 2021. The primary taxonomy on file is Clinical Electrophysiology Physical Therapist (2251E1300X), and the practice location is in Brooklyn, NY. The record was last updated on May 15, 2025.