Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Fitness Forum Physical and Occupational Therapy, PLLC

Organization Physical Therapist · NPI 1700170545

Fitness Forum Physical and Occupational Therapy, PLLC provides Physical Therapist services in De Witt, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5719 Widewaters Pkwy
De Witt, NY 13214-1985 Not confirmed with CMS for 15 years — call before visiting
Phone: (315) 478-0380
Fax: (315) 478-0388
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hand Occupational Therapist (primary) Taxonomy 225XH1200X · Licence 007223-1 (NY)
Physical Therapist Taxonomy 225100000X · Licence 011796-1 (NY)

Record details

NPI number1700170545
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Linkiewicz — President · (315) 478-0380
NPI enumeratedJune 8, 2011
Last updated in NPPESJuly 12, 2011
Mailing address231 Walton St, Suite 200, Syracuse, NY 13202-1885

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