Mpj Physical Therapy PC
Physical Therapist in Forest Hills, NY. Organization (NPI-2).
NPI number1003760141
StatusActive
Last updated in NPPESMar 13, 2026
Details
- NPI
- 1003760141
- Entity type
- Organization (NPI-2)
- Legal business name
- Mpj Physical Therapy PC
- Organization subpart
- No
- Enumeration date
- Feb 25, 2026
- Certification date
- Mar 13, 2026
- Last updated
- Mar 13, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - PHYSICAL/OCCUPATIONAL THERAPY GROUP IN PRI
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Practice location
7146 110th StForest Hills, NY 11375-4871
Phone 718-687-2474
Mailing address
7146 110th StGround Level
Forest Hills, NY 11375-4871
Phone 718-687-2474 · Fax 347-829-3113
Authorized official
Mario Palada Palisoc
Pt/President
9296138504
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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