Organization Active NPI

Flow Form Function Physical Therapy, PLLC

  • Physical Therapist
  • New York, NY
National Provider Identifier
1457202780
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FLOW FORM FUNCTION PHYSICAL THERAPY, PLLC
Practice address
116 Central Park S
New York, NY 10019-1559
Phone
(607) 795-1539
Fax
(607) 795-1918
NPI assigned
Feb 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Authorized official

Name
Michal Niedzielski, PTNPI 1679506133
Title
Owner
Phone
(607) 795-1539

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

116 Central Park S
New York, NY 10019-1559

Mailing address

2758 Westinghouse Rd
Horseheads, NY 14845-8115
Phone (607) 795-1539

National Provider Directory

National Provider Directory

Locations

116 Central Park S
New York, NY 10019
Phone (212) 581-4646

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1770163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1457202780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2758 WESTINGHOUSE RD",
            "city": "HORSEHEADS",
            "state": "NY",
            "postal_code": "148458115",
            "telephone_number": "607-795-1539",
            "fax_number": "607-795-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 CENTRAL PARK S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191559",
            "telephone_number": "607-795-1539",
            "fax_number": "607-795-1918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOW FORM FUNCTION PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-04",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "NIEDZIELSKI",
        "authorized_official_first_name": "MICHAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-795-1539",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.