Healthcare Provider Details

I. General information

NPI: 1699959072
Provider Name (Legal Business Name): TENDER LOVING CARE PHYSICAL THERAPY, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2007
Last Update Date: 02/02/2026
Certification Date: 02/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3555 BAINBRIDGE AVE
BRONX NY
10467-1411
US

IV. Provider business mailing address

3555 BAINBRIDGE AVE
BRONX NY
10467-1411
US

V. Phone/Fax

Practice location:
  • Phone: 718-652-3535
  • Fax: 718-652-2323
Mailing address:
  • Phone: 718-652-3535
  • Fax: 718-652-2323

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251E1300X
TaxonomyClinical Electrophysiology Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number021098-1
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State

VIII. Authorized Official

Name: KANCHAN SHENOY
Title or Position: OWNER
Credential: DPT
Phone: 718-652-3535