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

Fresh Pond Physical Therapy Greenpoint, PC

Organization Physical Therapist · NPI 1356608509

Fresh Pond Physical Therapy Greenpoint, PC provides Physical Therapist services in Ridgewood, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
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

6805 Fresh Pond Rd
Ridgewood, NY 11385-5200 Not confirmed with CMS for 10 years — call before visiting
Phone: (718) 456-2545
Fax: (718) 559-6784
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 015401-1 (NY)

Record details

NPI number1356608509
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Liza Tan — Ceo · (718) 456-2545
NPI enumeratedApril 12, 2012
Last updated in NPPESJuly 28, 2016
Mailing address1007 Manhattan Ave, Brooklyn, NY 11222-1313

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