NPI
Form and Function Physical Therapy PC.
NPI 1316332505
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2015-04-03
- Last updated
- 2015-04-03
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Specialties
Licenses
- License NY
- 0179761
Location
- Practice location
- 55 Jericho Tpke, Suite 202
- City
- Jericho NY
- Postal code
- 11753-1013
- Phone
- (516) 532-0734
Organization contact
- Name
- Amir Hanna
- Title
- Physical therapist
- Phone
- (516) 532-0734
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Jericho, NY. 475 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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