Physio Development Pt PC
Physio Development Pt PC is a healthcare organization registered as Rehabilitation Hospital Unit in Baldwin, NY, holding Type 2 (organization) NPI 1205613536 since 2023. The authorized official on file is Mennatallah Ibrahim, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1205613536 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Physio Development Pt PC |
| Practice address | 2270 GRAND AVE, Baldwin, NY, 11510 |
| Phone | 6463843095 |
| Enumeration date | 2023-09-11 |
| Last updated in NPPES | 2023-09-11 |
Authorized official
| Name | Mennatallah Ibrahim |
|---|---|
| Title | Owner |
| Phone | 6463843095 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 273Y00000X | Rehabilitation Hospital Unit | Primary | — | — |
Copy-ready billing details
Provider: Physio Development Pt PC NPI: 1205613536 Taxonomy: 273Y00000X (Rehabilitation Hospital Unit) Address: 2270 GRAND AVE, Baldwin, NY, 11510
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1346274651 | Mark Chester Yeung | Individual | Physical Therapist | Baldwin, NY |
| 1689746844 | Marc Jacobs | Individual | Chiropractor | Baldwin, NY |
| 1114144730 | Donald Goldman | Individual | Specialist | Baldwin, NY |
| 1396998142 | Mlj Chiropractic P.C. | Organization | Chiropractor | Baldwin, NY |
| 1891244075 | Elizabeth Yick | Individual | Acupuncturist | Baldwin, NY |
| 1902448889 | Yu Ri Song | Individual | Acupuncturist | Baldwin, NY |
| 1568041838 | Su Hong Kim | Individual | Acupuncturist | Baldwin, NY |
| 1811634165 | Carepoint Acupuncture | Organization | Acupuncturist | Baldwin, NY |
Verify this record
Cross-check NPI 1205613536 against the authoritative CMS record: view Physio Development Pt PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Physio Development Pt PC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-09-11.