Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Complete Body Physical Therapy 1 PC

Organization Specialist · NPI 1265730030

Complete Body Physical Therapy 1 PC provides Specialist services in New York, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

22 W 19th St
New York, NY 10011-4204 Not confirmed with CMS for 15 years — call before visiting
Phone: (212) 248-3030
Fax: (212) 248-3033
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 026282-1 (NY)

Record details

NPI number1265730030
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bartosz Nikiciuk — Clinical Director · (212) 248-3030
NPI enumeratedMarch 3, 2011
Last updated in NPPESMarch 3, 2011
Mailing address80 John St, New York, NY 10038-2806

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