Healthcare Provider Details

I. General information

NPI: 1932958618
Provider Name (Legal Business Name): EMPOWER PHYSICAL THERAPY & ATHLETIC TRAINING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2024
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 E PROSPECT AVE # 1025
MAMARONECK NY
10543-3709
US

IV. Provider business mailing address

603 E BOSTON POST RD # 101
MAMARONECK NY
10543-3742
US

V. Phone/Fax

Practice location:
  • Phone: 914-419-5182
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: PAUL BARAKAT
Title or Position: OWNER, PHYSICAL THERAPIST
Credential: PT, DPT
Phone: 914-419-5182