Provider Demographics
NPI:1144563990
Name:CLUTCH PHYSICAL THERAPY PLLC
Entity type:Organization
Organization Name:CLUTCH PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CHIEF ATHLETE MECHANIC
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAHLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:212-203-6802
Mailing Address - Street 1:1690 2ND AVE
Mailing Address - Street 2:PLAZA
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128
Mailing Address - Country:US
Mailing Address - Phone:212-203-6802
Mailing Address - Fax:212-377-5741
Practice Address - Street 1:1690 2ND AVE
Practice Address - Street 2:PLAZA
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128
Practice Address - Country:US
Practice Address - Phone:212-203-6802
Practice Address - Fax:212-377-5741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-30
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY032171-1261QP2000X
2251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSportsGroup - Single Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1740507045OtherMEDICARE NPI FOR ME/OWNER/FOUNDER