Pro Form Physical Therapy PC
NPI 1740621697 · Specialist · Bronx, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pro Form Physical Therapy PC is a Specialist organization in Bronx, NY (NPI 1740621697).
Provider details
- NPI number
- 1740621697
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Sam Hanna, Owner/Physical Therapist(917) 545-9249
- License
- 021421 (NY)
Specialties & taxonomies
Other Service Providers
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
- 2013-07-08
- Last updated
- 2016-03-01
Frequently asked questions
- What is Pro Form Physical Therapy PC's NPI number?
- Pro Form Physical Therapy PC's National Provider Identifier (NPI) is 1740621697, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pro Form Physical Therapy PC?
- Pro Form Physical Therapy PC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Pro Form Physical Therapy PC located?
- Pro Form Physical Therapy PC's practice location on file with NPPES is 1973 University Ave, Bronx, NY 10453-4404.
- What is Pro Form Physical Therapy PC's phone number?
- The practice phone number listed in the NPPES registry for Pro Form Physical Therapy PC is (718) 618-0052.
- Does Pro Form Physical Therapy PC accept Medicare?
- Pro Form Physical Therapy PC 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 Pro Form Physical Therapy PC?
- The authorized official listed on Pro Form Physical Therapy PC's NPPES record is Sam Hanna, Owner/Physical Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pro Form Physical Therapy PC's NPI active?
- Yes — Pro Form Physical Therapy PC's NPI (1740621697) is active in the NPPES registry as of the last update on 2016-03-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.