Healthcare Provider Details

I. General information

NPI: 1477388510
Provider Name (Legal Business Name): ZERO GRAVITY PHYSICAL THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2024
Last Update Date: 06/25/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5214 VAN LOON ST APT 1A
ELMHURST NY
11373-4266
US

IV. Provider business mailing address

8413 52ND AVE FL 1
ELMHURST NY
11373-4320
US

V. Phone/Fax

Practice location:
  • Phone: 347-335-4048
  • Fax: 718-875-4545
Mailing address:
  • Phone: 347-335-4048
  • Fax: 718-875-4545

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. MA. JHOANNE CONCEPCION TERRADO
Title or Position: PHYSICAL THERAPIST/OWNER
Credential: DPT
Phone: 718-810-4717