Healthcare Provider Details

I. General information

NPI: 1801726591
Provider Name (Legal Business Name): FUNCTIONAL MOTION PHYSICAL THERAPY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1976 CROTONA PKWY
BRONX NY
10460-1526
US

IV. Provider business mailing address

2068 ROYCE ST
BROOKLYN NY
11234-6221
US

V. Phone/Fax

Practice location:
  • Phone: 518-421-5224
  • Fax:
Mailing address:
  • Phone: 518-421-5224
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: EHAB ELKADY
Title or Position: OFFICER
Credential:
Phone: 518-421-5224