Fresh Pond Physical Therapy, P.C
NPI 1508844036 · Physical Therapy Clinic/Center · Ridgewood, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fresh Pond Physical Therapy, P.C is a Physical Therapy Clinic/Center organization in Ridgewood, NY (NPI 1508844036).
Provider details
- NPI number
- 1508844036
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jenny Tan, Billing & Collection Dept. Head(718) 456-2543
- License
- 015401 (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Cardiopulmonary Physical Therapist2251C2600X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Geriatric Physical Therapist2251G0304X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Hand Physical Therapist2251H1200X
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
20 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
- 2006-01-04
- Last updated
- 2016-05-20
Frequently asked questions
- What is Fresh Pond Physical Therapy, P.C's NPI number?
- Fresh Pond Physical Therapy, P.C's National Provider Identifier (NPI) is 1508844036, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fresh Pond Physical Therapy, P.C?
- Fresh Pond Physical Therapy, P.C is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Fresh Pond Physical Therapy, P.C located?
- Fresh Pond Physical Therapy, P.C's practice location on file with NPPES is 6805 Fresh Pond Rd, Ridgewood, NY 11385-5200.
- What is Fresh Pond Physical Therapy, P.C's phone number?
- The practice phone number listed in the NPPES registry for Fresh Pond Physical Therapy, P.C is (718) 456-2545.
- Does Fresh Pond Physical Therapy, P.C accept Medicare?
- Fresh Pond Physical Therapy, P.C is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Fresh Pond Physical Therapy, P.C?
- The authorized official listed on Fresh Pond Physical Therapy, P.C's NPPES record is Jenny Tan, Billing & Collection Dept. Head. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fresh Pond Physical Therapy, P.C's NPI active?
- Yes — Fresh Pond Physical Therapy, P.C's NPI (1508844036) 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.