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

Green Light Physical Therapy PC

Organization Physical Therapist · NPI 1508291212

Green Light Physical Therapy PC provides Physical Therapist services in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013
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

2761 Bath Ave Bas 1
Brooklyn, NY 11214-5551 Not confirmed with CMS for 13 years — call before visiting
Phone: (718) 872-7801
Fax: (718) 872-7803
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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 032199 (NY)

Record details

NPI number1508291212
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stella Dvorin — President · (718) 872-7801
NPI enumeratedSeptember 12, 2013
Last updated in NPPESSeptember 12, 2013
Mailing address2761 Bath Ave, Bas 1, Brooklyn, NY 11214-5551

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