Form and Function Physical Therapy PC.
Form and Function Physical Therapy PC. is a healthcare organization registered as Physical Therapist in Jericho, NY, holding Type 2 (organization) NPI 1316332505 since 2015. The authorized official on file is Amir Hanna, Physical Therapist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1316332505 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Form and Function Physical Therapy PC. |
| Practice address | 55 JERICHO TPKE, SUITE 202, Jericho, NY, 11753 |
| Phone | 5165320734 |
| Fax | 5164659656 |
| Enumeration date | 2015-04-03 |
| Last updated in NPPES | 2015-04-03 |
Authorized official
| Name | Amir Hanna |
|---|---|
| Title | Physical Therapist |
| Phone | 5165320734 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 225100000X | Physical Therapist | Primary | 0179761 | NY |
Copy-ready billing details
Provider: Form and Function Physical Therapy PC. NPI: 1316332505 Taxonomy: 225100000X (Physical Therapist) Address: 55 JERICHO TPKE, SUITE 202, Jericho, NY, 11753
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1164746319 | Blair J. Guidera, PC | Organization | Pediatrics Physician | Jericho, NY |
Verify this record
Cross-check NPI 1316332505 against the authoritative CMS record: view Form and Function Physical Therapy 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
What type of organization is Form and Function Physical Therapy PC.?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-04-03.