NPIMap

Organization Active NPI

Elite Movement Initiative LLC

  • Physical Therapist
  • Forest Hills, NY
National Provider Identifier
1386282366
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ELITE MOVEMENT INITIATIVE LLC
Practice address
10615 Queens Blvd # B11
Forest Hills, NY 11375-4301
Phone
(646) 389-1161
Fax
(201) 591-7839
NPI assigned
Dec 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Authorized official

Name
Dr. Bhavik Sheth, PT, DPTNPI 1750835351
Title
Owner
Phone
(718) 308-5225

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

10615 Queens Blvd # B11
Forest Hills, NY 11375-4301

Mailing address

6155 98TH St Apt 16H
Rego Park, NY 11374-1439

Other practice location 1

6155 98th St Apt 16H
Rego Park, NY 11374-1439
Phone (718) 308-5225

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1576800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1386282366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6155 98TH ST APT 16H",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10615 QUEENS BLVD # B11",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754301",
            "telephone_number": "646-389-1161",
            "fax_number": "201-591-7839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6155 98th St Apt 16H",
            "address_purpose": "LOCATION",
            "city": "Rego Park",
            "state": "NY",
            "postal_code": "113741439",
            "country_code": "US",
            "telephone_number": "718-308-5225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELITE MOVEMENT INITIATIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-20",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "SHETH",
        "authorized_official_first_name": "BHAVIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-308-5225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.