Great Western Physical Therapy PC
NPI 1174162440 · Physical Therapy Clinic/Center · Astoria, NY
Great Western Physical Therapy PC is a Physical Therapy Clinic/Center organization in Astoria, NY (NPI 1174162440).
Provider details
- NPI number
- 1174162440
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Davydov, Physical Therapist(929) 340-1606
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
- 2020-01-03
- Last updated
- 2020-01-03
- Certified
- 2020-01-03
Frequently asked questions
- What is Great Western Physical Therapy PC's NPI number?
- Great Western Physical Therapy PC's National Provider Identifier (NPI) is 1174162440, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Western Physical Therapy PC?
- Great Western Physical Therapy PC is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Great Western Physical Therapy PC located?
- Great Western Physical Therapy PC's practice location on file with NPPES is 3175 29th St Apt A7, Astoria, NY 11106-3328.
- What is Great Western Physical Therapy PC's phone number?
- The practice phone number listed in the NPPES registry for Great Western Physical Therapy PC is (929) 340-1606.
- Who is the authorized official for Great Western Physical Therapy PC?
- The authorized official listed on Great Western Physical Therapy PC's NPPES record is Mark Davydov, Physical Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Western Physical Therapy PC's NPI active?
- Yes — Great Western Physical Therapy PC's NPI (1174162440) is active in the NPPES registry as of the last update on 2020-01-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.