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Broadway Physical Therapy LLC

Physical Therapy Clinic/Center in Staten Island, NY · enumerated 2006 · authorized official Thobile Sibanda, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1649280199

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Registry record

Entity type Organization (Type 2)
Legal business name Broadway Physical Therapy LLC
Practice address 289 Broadway, Staten Island, NY, 10310
Fax (718) 448-4506
Enumeration date Aug 8, 2006
Last updated in NPPES Dec 11, 2023

Taxonomy & classification

261QP2000X Physical Therapy Clinic/Center Ambulatory Health Care Facilities · License 016088 (NY) Primary

Authorized official

Name Thobile Sibanda
Title Owner

Other identifiers

Identifier Type State Issuer
02647758 Medicaid NY -

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.

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Frequently asked questions

What type of organization is Broadway Physical Therapy LLC?
Broadway Physical Therapy LLC is registered in NPPES as a Physical Therapy Clinic/Center (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-12-11.