Healthcare Provider Details

I. General information

NPI: 1588591929
Provider Name (Legal Business Name): CENTRAL PARK WEST PHYSICAL THERAPY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 CENTRAL PARK W APT 1C
NEW YORK NY
10024-1590
US

IV. Provider business mailing address

300 CENTRAL PARK W APT 1C
NEW YORK NY
10024-1590
US

V. Phone/Fax

Practice location:
  • Phone: 347-362-5717
  • Fax:
Mailing address:
  • Phone: 646-984-8501
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. MAURO CASTELOBRANCO
Title or Position: PHYSICAL THERAPIST
Credential: DPT
Phone: 347-362-5717