Healthcare Provider Details

I. General information

NPI: 1992669667
Provider Name (Legal Business Name): VERSATILITY PHYSICAL THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5223 9TH AVE LOWR LEVEL
BROOKLYN NY
11220-2913
US

IV. Provider business mailing address

1131 E 28TH ST
BROOKLYN NY
11210-4624
US

V. Phone/Fax

Practice location:
  • Phone: 347-522-2934
  • Fax: 347-729-0961
Mailing address:
  • Phone: 347-522-2934
  • Fax: 347-729-0961

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JONATHAN S EINHORN
Title or Position: OWNER
Credential: DPT
Phone: 347-522-2934