Healthcare Provider Details
I. General information
NPI: 1891621835
Provider Name (Legal Business Name): EMPOWER HEALTH PHYSICAL THERAPY PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
15144 82ND ST
HOWARD BEACH NY
11414-1777
US
IV. Provider business mailing address
752 COUNTY AVE APT 11A
SECAUCUS NJ
07094-2748
US
V. Phone/Fax
- Phone: 734-741-3747
- Fax:
- Phone: 734-741-3747
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DEVAL
PARMAR
Title or Position: PRESIDENT
Credential:
Phone: 734-741-3747