NPIMap

Organization Active NPI

Body in Balance Physical Therapy, PC

Doing business as Millennium Physical Therapy and Sports Medicine, PC

  • Physical Therapy Clinic/Center
  • Astoria, NY
National Provider Identifier
1235174384
Registry record updated Nov 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
024817-1 Issued in NY
Legal business name
BODY IN BALANCE PHYSICAL THERAPY, PC
Doing business as
Millennium Physical Therapy and Sports Medicine, PC
Practice address
3063 38TH St FL B
Astoria, NY 11103-3803
Phone
(718) 932-1269
Fax
(718) 932-0198
NPI assigned
Jun 20, 2006
Last updated
Nov 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2010

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

Authorized official

Name
Dr. Theodosios Neamonitis, DPTNPI 1396794228
Title
President/Owner
Phone
(718) 932-1269

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 024817-1 NY Primary

Addresses

Primary practice location

3063 38TH St FL B
Astoria, NY 11103-3803

Mailing address

3063 38TH St FL B
Astoria, NY 11103-3803
Phone (718) 932-1269

Other names 1

  • Millennium Physical Therapy and Sports Medicine, PC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041216000212 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3173580651 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
Practice locations: Astoria, NY; Sunnyside, NY; New York, NY; Flushing, NY; Brooklyn, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Body in Balance Physical Therapy PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3063 38th St
Ste B
Astoria, NY 11103
Phone (718) 626-2222

Practitioners & affiliated clinicians

Practitioners 9

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": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289520000000",
    "number": "1235174384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3063 38TH ST FL B",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033803",
            "telephone_number": "718-932-1269",
            "fax_number": "718-932-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3063 38TH ST FL B",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033803",
            "telephone_number": "718-932-1269",
            "fax_number": "718-932-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY IN BALANCE PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2010-11-12",
        "status": "A",
        "authorized_official_last_name": "NEAMONITIS",
        "authorized_official_first_name": "THEODOSIOS",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "718-932-1269",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "024817-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millennium Physical Therapy and Sports Medicine, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; 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.