Healthcare Provider Details

I. General information

NPI: 1144563990
Provider Name (Legal Business Name): CLUTCH PHYSICAL THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2013
Last Update Date: 05/27/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1690 2ND AVE PLAZA
NEW YORK NY
10128
US

IV. Provider business mailing address

1690 2ND AVE PLAZA
NEW YORK NY
10128
US

V. Phone/Fax

Practice location:
  • Phone: 212-203-6802
  • Fax: 212-377-5741
Mailing address:
  • Phone: 212-203-6802
  • Fax: 212-377-5741

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number032171-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSHUA GRAHLMAN
Title or Position: FOUNDER/CHIEF ATHLETE MECHANIC
Credential: DPT
Phone: 212-203-6802