Active Mobility Physical Therapy PC
Organization Active NPI Physical Therapist · Bethpage, NY
NPI 1235995408 · NPPES record last updated Jul 30, 2025
Key facts
- NPI
- 1235995408
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- ACTIVE MOBILITY PHYSICAL THERAPY PC
- Practice address
- 59 Martin Rd N
Bethpage, NY 11714-5119 - Phone
- (516) 680-5484
- NPI assigned
- Feb 26, 2024
- Organization subpart
- No
Authorized official
- Name
- Khurshid Ibrahimi, PT
- Title
- Director
- Phone
- (516) 680-5484
Practitioners 6
-
Harveen Kaur, PT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240508003234 | NY | Part B Supplier - Clinic/Group Practice | 8325489362 |
Receives reassigned benefits from 6 practitioners Practice locations: Bethpage, NY |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
59 Martin Rd N
Bethpage, NY 11714-5119
Mailing address
59 Martin Rd N
Bethpage, NY 11714-5119
Other providers in Bethpage, NY
- 365 Kids LLC
- A.G. Kalafatic, M.D., PLLC
- Jay S Abeles
- Lisa Abraham
- Mary Achtziger
- Adults and Children With Learning and Developmental Disabilites, Inc.
- Adults and Children With Learning and Developmental Disabilities, Inc.
- Iftikhar Ahmad
- Pervez A Ahmed
- Rozina A Ahmed
All providers in Bethpage, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.