Active Healing Physical Therapy, PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

018530 Issued in NY

Legal business name

ACTIVE HEALING PHYSICAL THERAPY, PLLC

Practice address

16902 Highland Ave BSMT
Jamaica, NY 11432-2632

Phone

(718) 844-4832

Fax

(347) 923-3217

NPI assigned

Nov 2, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Imrul Kabir, DPTNPI 1497905608

Title

President/ Physical Therapy

Phone

(718) 314-6763

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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

• Imrul Kabir, P.T., D.P.T.

  • Physical Therapist
  • Jamaica, NY
  • NPI 1497905608
  Medicare reassignment Authorized official
• MD Rasel Rana

  • Physical Therapy Assistant
  • Jamaica, NY
  • NPI 1619363553
  NPD (past)

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

{
    "created_epoch": "1320192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649030400000",
    "number": "1003192121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8450 169TH ST",
            "address_2": "APT 415",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114322049",
            "telephone_number": "718-314-6763",
            "fax_number": "347-923-3217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16902 HIGHLAND AVE BSMT",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114322632",
            "telephone_number": "718-844-4832",
            "fax_number": "347-923-3217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 Beverley Rd",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112183151",
            "country_code": "US",
            "telephone_number": "718-844-4623",
            "fax_number": "347-923-3217",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4122 75th St",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "NY",
            "postal_code": "113731956",
            "country_code": "US",
            "telephone_number": "718-314-6763",
            "fax_number": "347-923-3217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ACTIVE HEALING PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-02",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A",
        "authorized_official_last_name": "KABIR",
        "authorized_official_first_name": "IMRUL",
        "authorized_official_title_or_position": "PRESIDENT/ PHYSICAL THERAPY",
        "authorized_official_telephone_number": "718-314-6763",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "018530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03435572",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kerree Achille-Westmoreland
• Rita G. Ackerman, LCSW
• Action Physical Therapy & Rehabilitation PC
• Actioncare Medical Supply
• Active Care Inc.
• Active United Care Physical Therapy, PLLC
• Ad Elderly Care, Corp
• Lalluh Adren Renon Adalla
• Abdalla I. Adam, MD
• Leaha Mackenzie Adam, M.D.

• Physical Therapy Clinic/Center in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.