FORWARD PHYSICAL THERAPY, PLLC (NPI# 1093082604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093082604 |
| Entity Type | Organization |
| Organization Name | FORWARD PHYSICAL THERAPY, PLLC |
| Practice Address |
1716 Coney Island Ave Brooklyn NY 11230 |
| Mailing Address |
1565 E 36th St Brooklyn NY 11234-3415 |
| Practice Telephone | 7183364900 |
| Practice Fax Number | 7183364990 |
| Mailing Telephone | 9176587726 |
| Mailing Fax Number | 7186820707 |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2019-07-03 |
| Authorized Official Name | DAVID JAY ETTINGER (OWNER) |
| Authorized Official Telephone | 7183364900 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
029579 | NY | Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3815 13th Avenue, Brooklyn, NY 11218 | 7086776777 | 7186820707 |
| Street Address |
1716 CONEY ISLAND AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821039827 | Sam Rausman | Social Worker | 1716 Coney Island Ave, Suite 6-a, Brooklyn, NY 11230-5826 | 2006-06-09 |
| 1235781790 | Eleanor O'connell | Physical Therapy Assistant | 1716 Coney Island Ave, Brooklyn, NY 11230-5801 | 2019-07-15 |
| 1811549264 | Aurus Julius Sanchez | Physical Therapy Assistant | 1716 Coney Island Ave, Brooklyn, NY 11230-5801 | 2019-07-15 |
| 1174065353 | Fayga Mushla Sperber | Occupational Therapist | 1716 Coney Island Ave, Brooklyn, NY 11230-5801 | 2016-11-05 |
| 1437504636 | Mansi Shah | Physical Therapist | 1716 Coney Island Ave, Brooklyn, NY 11230-5801 | 2016-04-26 |
| 1083092605 | Rena Sarah Weinhouse | Dietitian, Registered | 1716 Coney Island Ave, Brooklyn, NY 11230-5801 | 2015-05-14 |
| 1174927677 | Yad Ot Pt Pllc | Specialist | 1716 Coney Island Ave, Brooklyn, NY 11230-5801 | 2014-10-14 |
| 1154763894 | Chaim Gitelis Do PC | Internal Medicine | 1716 Coney Island Ave, Brooklyn, NY 11230-5801 | 2013-07-23 |
| 1629262993 | David Jay Ettinger | Physical Therapist | 1716 Coney Island Ave, Brooklyn, NY 11230-5801 | 2007-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891392940 | Dr Omolola Omishore Pt, P.C. | Physical Therapist | 1138 Ocean Ave Apt 6i, Brooklyn, NY 11230 | 2020-10-01 |
| 1902411531 | Limelite Recovery Inc. | Durable Medical Equipment & Medical Supplies | 1599 E 15th St 5th Fl. Ste B, Brooklyn, NY 11230 | 2020-09-10 |
| 1861054793 | Morris Kiss | Case Manager/Care Coordinator | 1851 Coney Island Ave., Brooklyn, NY 11230 | 2019-07-01 |
| 1679047062 | Katherine Michelle Moreno | Social Worker | 1309 -1311 Foster Ave, Brooklyn, NY 11230 | 2019-01-18 |
| 1295229987 | Alexander Kuravsky | Specialist | 890 E. 14th St Apt A2, Brooklyn, NY 11230 | 2018-06-18 |
| 1740787308 | Madelaine Paula Wolfond | Social Worker | 1309-1311 Foster Ave., Brooklyn, NY 11230 | 2018-04-10 |
| 1245746288 | Nora Salaheldin Ahmed I | Physical Therapist | 1440 Ocean Parkway,4k, Brooklyn, NY 11230 | 2017-12-27 |
| 1124539192 | Victoria Zavalunova | Case Manager/Care Coordinator | 716 Ocean Pkwy Apt 6c, Brooklyn, NY 11230 | 2017-10-18 |
| 1841717576 | John Philip Gaac | Physical Therapist | 954 E 15th St Apt 3c, Brooklyn, NY 11230 | 2017-08-23 |
| 1134641707 | Brenda E Leibowitz | Speech-Language Pathologist | 864 East 13th Street, Brooklyn, NY 11230 | 2017-07-14 |
| Find all providers in zip 11230 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202404 | Mobility Health Physical Therapy | Clinic/Center | 10545 Avenue M, Brooklyn, NY 11236-4603 | 2020-10-16 |
| 1952917726 | Mauro Woods | Clinic/Center | 974 Greene Ave Apt 4a, Brooklyn, NY 11221-6313 | 2020-09-17 |
| 1003430018 | Kenefick Physical Therapy Pllc | Clinic/Center | 112 Noel Ave, Brooklyn, NY 11229-6421 | 2020-06-05 |
| 1740742097 | Tara Knutsen, Pt, P.C. | Clinic/Center | 346 Senator St, Brooklyn, NY 11220-5311 | 2019-04-04 |
| 1386106128 | Standard Care P.t. P.C. | Clinic/Center | 333 Greene Ave # Store339, Brooklyn, NY 11238-2295 | 2019-04-02 |
| 1467937961 | Metropolis Physical Therapy Pllc | Clinic/Center | 585 Bushwick Ave, Brooklyn, NY 11206-4628 | 2018-10-01 |
| 1194217216 | Kambiz Raoufian Physical Therapy Pllc | Clinic/Center | 2176 New York Ave, Brooklyn, NY 11210 | 2018-06-04 |
| 1427584630 | Equinox Physical Therapy, PC | Clinic/Center | 407 Rockaway Avenue, 2nd Floor, Brooklyn, NY 11212 | 2017-05-08 |
| 1588195408 | Spring Rehab Pt, PC. | Clinic/Center | 8881 24th Ave, 2nd Fl, Brooklyn, NY 11214-6501 | 2017-03-22 |
| 1053859207 | American Medical Company | Clinic/Center | 1671 W 10th St, Brooklyn, NY 11223-1104 | 2017-02-08 |
| Find all providers in BROOKLYN | ||||
Please comment or provide details below to improve the information on FORWARD PHYSICAL THERAPY, PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.