Fresh Pond Physical Therapy Jackson Heights, PC.
NPI 1093111023 · Physical Therapist · Jackson Heights, NY
Fresh Pond Physical Therapy Jackson Heights, PC. is a Physical Therapist organization in Jackson Heights, NY (NPI 1093111023).
Provider details
- NPI number
- 1093111023
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Liza Tan, President(718) 456-2545
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-11-19
- Last updated
- 2016-05-20
Frequently asked questions
- What is Fresh Pond Physical Therapy Jackson Heights, PC.'s NPI number?
- Fresh Pond Physical Therapy Jackson Heights, PC.'s National Provider Identifier (NPI) is 1093111023, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fresh Pond Physical Therapy Jackson Heights, PC.?
- Fresh Pond Physical Therapy Jackson Heights, PC. is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Fresh Pond Physical Therapy Jackson Heights, PC. located?
- Fresh Pond Physical Therapy Jackson Heights, PC.'s practice location on file with NPPES is 9216 Roosevelt Ave, Jackson Heights, NY 11372-7942.
- What is Fresh Pond Physical Therapy Jackson Heights, PC.'s phone number?
- The practice phone number listed in the NPPES registry for Fresh Pond Physical Therapy Jackson Heights, PC. is (718) 456-2545.
- Who is the authorized official for Fresh Pond Physical Therapy Jackson Heights, PC.?
- The authorized official listed on Fresh Pond Physical Therapy Jackson Heights, PC.'s NPPES record is Liza Tan, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fresh Pond Physical Therapy Jackson Heights, PC.'s NPI active?
- Yes — Fresh Pond Physical Therapy Jackson Heights, PC.'s NPI (1093111023) is active in the NPPES registry as of the last update on 2016-05-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.