Healthcare Provider Details

I. General information

NPI: 1952288920
Provider Name (Legal Business Name): BRM PHYSICAL THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2025
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 W 74TH ST
NEW YORK NY
10023-2123
US

IV. Provider business mailing address

1317 3RD AVE FL 9
NEW YORK NY
10021-2963
US

V. Phone/Fax

Practice location:
  • Phone: 212-439-1596
  • Fax: 212-439-1608
Mailing address:
  • Phone: 212-439-1596
  • Fax: 212-439-1608

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: EVAN LAFEMINA
Title or Position: BILLING MANAGER
Credential:
Phone: 631-741-3369