New Form Physical Therapy P.C.

Primary specialty

Clinical Electrophysiology Physical TherapistTaxonomy code 2251E1300X

Legal business name

NEW FORM PHYSICAL THERAPY P.C.

Practice address

1711 Ralph Ave
Brooklyn, NY 11236-3319

Phone

(718) 649-6356

NPI assigned

Nov 23, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Rinku Kuril, DPT, ECS, RMSKNPI 1972844611

Title

Owner, Ceo

Phone

(917) 282-0238

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rinku Kuril, DPT, ECS, RMSK

  • Clinical Electrophysiology Physical Therapist
  • Rockville, MD
  • NPI 1972844611

  Electrophysiology, Clinical

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1053078170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14004 ROCKINGHAM RD",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 RALPH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363319",
            "telephone_number": "718-649-6356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW FORM PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-23",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A",
        "authorized_official_last_name": "KURIL",
        "authorized_official_first_name": "RINKU",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "917-282-0238",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT, ECS, RMSK"
    },
    "taxonomies": [
        {
            "code": "2251E1300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.