Form and Function Physical Therapy PC.
NPI 1316332505 · Physical Therapist · Jericho, NY
Form and Function Physical Therapy PC. is a Physical Therapist organization in Jericho, NY (NPI 1316332505).
Provider details
- NPI number
- 1316332505
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Amir Hanna, Physical Therapist(516) 532-0734
- License
- 0179761 (NY)
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
- 2015-04-03
- Last updated
- 2015-04-03
Frequently asked questions
- What is Form and Function Physical Therapy PC.'s NPI number?
- Form and Function Physical Therapy PC.'s National Provider Identifier (NPI) is 1316332505, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Form and Function Physical Therapy PC.?
- Form and Function Physical Therapy PC. is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Form and Function Physical Therapy PC. located?
- Form and Function Physical Therapy PC.'s practice location on file with NPPES is 55 Jericho Tpke, Jericho, NY 11753-1013.
- What is Form and Function Physical Therapy PC.'s phone number?
- The practice phone number listed in the NPPES registry for Form and Function Physical Therapy PC. is (516) 532-0734.
- Who is the authorized official for Form and Function Physical Therapy PC.?
- The authorized official listed on Form and Function Physical Therapy PC.'s NPPES record is Amir Hanna, Physical Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Form and Function Physical Therapy PC.'s NPI active?
- Yes — Form and Function Physical Therapy PC.'s NPI (1316332505) is active in the NPPES registry as of the last update on 2015-04-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.