Organization Active NPI

Back in Motion Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Great Neck, NY
National Provider Identifier
1104210996
Registry record updated Mar 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
019864 Issued in NY
Legal business name
BACK IN MOTION PHYSICAL THERAPY PC
Practice address
34 Highland PL
Great Neck, NY 11020-1057
Phone
(516) 384-2568
Fax
(516) 829-2257
NPI assigned
Mar 19, 2015
Last updated
Mar 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2015

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

Authorized official

Name
Mayte Vargas, M.S., B.S.NPI 1063631273
Title
Physical Therapist
Phone
(516) 384-2568

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 Therapy Clinic/Center 261QP2000X 019864 NY Primary

Addresses

Primary practice location

34 Highland PL
Great Neck, NY 11020-1057

Mailing address

34 Highland PL
Great Neck, NY 11020-1057
Phone (516) 384-2568

National Provider Directory

National Provider Directory

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": "1426723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1104210996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 HIGHLAND PL",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110201057",
            "telephone_number": "516-384-2568",
            "fax_number": "516-829-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 HIGHLAND PL",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110201057",
            "telephone_number": "516-384-2568",
            "fax_number": "516-829-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK IN MOTION PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-19",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "MAYTE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "516-384-2568",
        "authorized_official_credential": "M.S., B.S."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "019864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.