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

Functional Lifestyles Physical and Occupational Therapy PLLC

Organization Physical Therapist · NPI 1790945020

Functional Lifestyles Physical and Occupational Therapy PLLC provides Physical Therapist services in Flushing, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
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

19911 33rd Ave
Flushing, NY 11358-1905 Not confirmed with CMS for 18 years — call before visiting
Phone: (917) 412-7506
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 009103 (NY)
Physical Therapist Taxonomy 225100000X · Licence 019237 (NY)

Record details

NPI number1790945020
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Juan Turcios — Operating Manager · (917) 412-7506
NPI enumeratedJune 10, 2008
Last updated in NPPESJune 10, 2008
Mailing address19911 33rd Ave, Flushing, NY 11358-1905

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