Be Active Movement Physical Therapy PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BE ACTIVE MOVEMENT PHYSICAL THERAPY PLLC

Practice address

370 Lexington Ave RM 312
New York, NY 10017-6564

Phone

(929) 333-4564

NPI assigned

Jan 24, 2023

Organization subpart

No

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

Authorized official

Name

Kyoungtae Lee, DPT

Title

Owner

Phone

(929) 333-4564

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1356057368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4917 OVERBROOK ST",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113621116",
            "telephone_number": "929-333-4564",
            "fax_number": "212-286-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 LEXINGTON AVE RM 312",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176564",
            "telephone_number": "929-333-4564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BE ACTIVE MOVEMENT PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KYOUNGTAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "929-333-4564",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.