Fresh Pond Physical Therapy Greenpoint, P.C
NPI 1356608509ActiveOrganization· Physical Therapist· Ridgewood, NY
Physical Therapist in Ridgewood, New York, registered in NPPES in April 2012. The authorized official on file is Liza Tan, DPT,PT, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1356608509 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 12, 2012 |
| Last updated in NPPES | Jul 28, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 015401-1 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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