Organization Active NPI

Excel in Motion Physical Therapy P.C.

  • Physical Therapist
  • Flushing, NY
National Provider Identifier
1104330182
Registry record updated Sep 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
035825 Issued in NY
Legal business name
EXCEL IN MOTION PHYSICAL THERAPY P.C.
Practice address
13527 38TH Ave Ste 368
Flushing, NY 11354-4449
Phone
(917) 443-3555
NPI assigned
Nov 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2020

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

Authorized official

Name
Leo ChenNPI 1891039004
Title
Ceo
Phone
(929) 381-9670

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 035825 NY Primary

Addresses

Primary practice location

13527 38TH Ave Ste 368
Flushing, NY 11354-4449

Mailing address

13527 38TH Ave Ste 368
Flushing, NY 11354-4449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180329001669 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2961764014 Receives reassigned benefits from 2 practitioners
Practice locations: Flushing, NY

National Provider Directory

National Provider Directory

Locations

13527 38th Ave
Ste 368
Flushing, NY 11354
Phone (718) 961-6668

16213 46th Ave
Ste 2A
Flushing, NY 11358
Phone (929) 381-9670

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599436800000",
    "number": "1104330182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13527 38TH AVE STE 368",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13527 38TH AVE STE 368",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544449",
            "telephone_number": "917-443-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL IN MOTION PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-28",
        "last_updated": "2020-09-07",
        "certification_date": "2020-09-07",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "LEO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "929-381-9670"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "035825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2020; 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.