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NPI Code Detail

MEDICARE: TENDER LOVING CARE PHYSICAL THERAPY, PC

MEDICARE: TENDER LOVING CARE PHYSICAL THERAPY, 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
1261QM1300XMulti-Specialty Clinic/Center
2261QP2000XPhysical Therapy Clinic/Center021098-1NY
3305S00000XPoint of Service
42251E1300XClinical Electrophysiology Physical Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10190212OTHERNYGHI
2P3871032OTHERNYOXFORD HEALTH PLANS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4Q432E1OTHERNYBCBS
511812222OTHERNYCAQH
62859717OTHERNYUNITED HEALTH CARE
70491365OTHERNYHEALTHNET ORTHONET
8A100000052OTHERNYNATIONALGOVERMENTSERVICES
902109862NYOTHERNY1199 NATIONAL BENEFITS FUND

General Provider Information

NPI Number : 1699959072
Entity Type Code : Organization
Provider Name (Legal Business Name) : TENDER LOVING CARE PHYSICAL THERAPY, PC
Provider Business Mailing Address
First Line : 3555 BAINBRIDGE AVE
Second Line :
City : BRONX
State : NY
Zip : 10467-1411
Country : US
Telephone Number : 718-652-3535
Fax Number : 718-652-2323
Provider Business Practice Location Address
First Line : 3555 BAINBRIDGE AVE
Second Line :
City : BRONX
State : NY
Zip : 10467-1411
Country : US
Telephone Number : 718-652-3535
Fax Number : 718-652-2323
Authorized Official
Title or Position : OWNER
Name : KANCHAN SHENOY
Credential : DPT
Telephone Number : 718-652-3535
Provider Enumeration Date : 12/21/2007
Last Update Date : 12/16/2025

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1164727186 — ANNE RONILYN SATAJO-SAMMS PT
Practice Location Address:
3555 BAINBRIDGE AVE , TENDER LOVING CARE PHYSICAL THERAPY
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Practice Fax: 718-652-2323

Directions to “TENDER LOVING CARE PHYSICAL THERAPY, PC ” Practice Location

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