Organization Active NPI

Motiv8 Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • New York, NY
National Provider Identifier
1093222481
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
024497 Issued in NY
Legal business name
MOTIV8 PHYSICAL THERAPY, PLLC
Doing business as
Motiv8 Physical Therapy, PLLC
Practice address
636 Broadway FL 2
New York, NY 10012-2607
Phone
(917) 972-3463
NPI assigned
Jan 7, 2018
Last updated
Oct 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Authorized official

Name
Ms. Evelyn C. Herrera, PT, DPT, CSCSNPI 1720254303
Title
Owner
Phone
(917) 972-3463

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 024497 NY Primary

Addresses

Primary practice location

636 Broadway FL 2
New York, NY 10012-2607

Mailing address

1705 Dean St Apt 3D
Brooklyn, NY 11213-1980
Phone (917) 972-3463

Other names 1

  • Motiv8 Physical Therapy, PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

636 Broadway
Fl 2
New York, NY 10012
Phone (917) 670-5261

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1515283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1093222481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 DEAN ST APT 3D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112131980",
            "telephone_number": "917-972-3463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 BROADWAY FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100122607",
            "telephone_number": "917-972-3463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTIV8 PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-07",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "HERRERA",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-972-3463",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT, DPT, CSCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "024497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Motiv8 Physical Therapy, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 28, 2024; 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.