Healthcare Provider Details

I. General information

NPI: 1831025899
Provider Name (Legal Business Name): STARTLINE PHYSICAL THERAPY PLLC
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

297 KNOLLWOOD RD STE 102
WHITE PLAINS NY
10607-1846
US

IV. Provider business mailing address

297 KNOLLWOOD RD STE 102
WHITE PLAINS NY
10607-1846
US

V. Phone/Fax

Practice location:
  • Phone: 718-640-4267
  • Fax:
Mailing address:
  • Phone: 718-640-4267
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: AKASH PATEL
Title or Position: CO-OWNER
Credential: DPT
Phone: 718-640-4267