MEDICARE: FUNCTIONAL MOTION PHYSICAL THERAPY PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1801726591
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FUNCTIONAL MOTION PHYSICAL THERAPY PC

Provider Business Mailing Address
First Line	:	2068 ROYCE ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-6221
Country	:	US
Telephone Number	:	518-421-5224
Fax Number	:

Provider Business Practice Location Address
First Line	:	1976 CROTONA PKWY
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10460-1526
Country	:	US
Telephone Number	:	518-421-5224
Fax Number	:

Authorized Official
Title or Position	:	OFFICER
Name	:	EHAB ELKADY
Credential	:
Telephone Number	:	518-421-5224

Provider Enumeration Date	:	05/22/2026
Last Update Date	:	05/22/2026

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