Healthcare Provider Details

I. General information

NPI: 1720990021
Provider Name (Legal Business Name): WOODLAWN PHYSICAL THERAPY P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4250 WHITE PLAINS RD
BRONX NY
10466-3022
US

IV. Provider business mailing address

4250 WHITE PLAINS RD
BRONX NY
10466-3022
US

V. Phone/Fax

Practice location:
  • Phone: 201-281-6137
  • Fax: 718-515-2188
Mailing address:
  • Phone: 201-281-6137
  • Fax: 718-515-2188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. SAFWAT SHENOUDA
Title or Position: OWNER
Credential: PT
Phone: 201-281-6137