Active NPI
Back in Motion Physical Therapy PC
- Physical Therapy Clinic/Center
- Great Neck, NY
National Provider Identifier
1104210996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 019864
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Physical Therapist
- Weston, FL
- NPI 1063631273
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.