MEDICARE: SOFT CARE PT PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1215610365
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOFT CARE PT PC

Provider Business Mailing Address
First Line	:	27 FOREST AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10301-3011
Country	:	US
Telephone Number	:	917-856-0062
Fax Number	:

Provider Business Practice Location Address
First Line	:	1320 LOUIS NINE BLVD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10459-1535
Country	:	US
Telephone Number	:	917-856-0062
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	AMRO MOHAMED
Credential	:	PT
Telephone Number	:	917-856-0062

Provider Enumeration Date	:	08/07/2023
Last Update Date	:	08/07/2023

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Directions to “SOFT CARE PT PC ” Practice Location

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