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NPI 1801726591

NPI 1801726591 : FUNCTIONAL MOTION PHYSICAL THERAPY PC : BRONX, NY

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General NPI Number Information
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    NPI Number           |    1801726591
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    Entity Type          |    Organization 
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    Legal Business Name  |    FUNCTIONAL MOTION PHYSICAL THERAPY PC 
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Dates
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    Enumeration Date     |    05/22/2026
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    Last Update Date     |    05/22/2026
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Provider Practice Location Address
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    Address Line         |    1976 CROTONA PKWY 
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    City                 |    BRONX
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    State                |    NY
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    Zip                  |    10460-1526
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    Country              |    US
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    Telephone            |    518-421-5224
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2068 ROYCE ST 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11234-6221
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    Country              |    US
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    Telephone            |    518-421-5224
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OFFICER
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    Name                 |     EHAB  ELKADY 
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    Credential           |    
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    Telephone            |    518-421-5224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    
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