Form Physical Therapy P.C.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

FORM PHYSICAL THERAPY P.C.

Practice address

93 Worth St
New York, NY 10013-3412

Phone

(617) 971-6422

NPI assigned

Mar 14, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Brandon Ong, DPTNPI 1598400368

Title

President

Phone

(617) 971-6422

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.

• Brandon Ong, PT, DPT

  • Physical Therapist
  • New York, NY
  • NPI 1598400368
  NPD Authorized official

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

{
    "created_epoch": "1773446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773446400000",
    "number": "1962359224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 E 89TH ST APT 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101286772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 WORTH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100133412",
            "telephone_number": "617-971-6422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1767 Park Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100351901",
            "country_code": "US",
            "telephone_number": "617-971-6422 x1",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FORM PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-14",
        "last_updated": "2026-03-14",
        "certification_date": "2026-03-14",
        "status": "A",
        "authorized_official_last_name": "ONG",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-971-6422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Forgosh
• Kathleen Forhan
• Rebecca Forlenza-Newcomb, LCSW
• Christopher Jon Forlenza, M.D.
• Bryan G. Forley, M.D.
• Adam Formal
• Jenny Forman Sarno, LCSW
• Alexa Beth Forman, DNP, FNP-BC
• Courteney Forman, LMHC
• Craig Forman

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.