MEDICARE: TLC REHABILITATION 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

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	03992	OTHER	NY	MEDICARE-GHI
3	Q9W301	OTHER	NY	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962459594
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TLC REHABILITATION PHYSICAL THERAPY PC

Provider Business Mailing Address
First Line	:	6501 BAY PARKWAY
Second Line	:	C LEVEL
City	:	BROOKLYN
State	:	NY
Zip	:	11204-3948
Country	:	US
Telephone Number	:	718-238-9392
Fax Number	:	718-238-9379

Provider Business Practice Location Address
First Line	:	6501 BAY PARKWAY
Second Line	:	C LEVEL
City	:	BROOKLYN
State	:	NY
Zip	:	11204-3948
Country	:	US
Telephone Number	:	718-238-9392
Fax Number	:	718-238-9379

Authorized Official
Title or Position	:	TREASURER
Name	:	HENRY KEUNG MUI
Credential	:	PT
Telephone Number	:	718-463-6335

Provider Enumeration Date	:	05/28/2006
Last Update Date	:	08/13/2025

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Directions to “TLC REHABILITATION PHYSICAL THERAPY PC ” Practice Location

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