Organization Active NPI

A to Z Physical Therapy PC

Doing business as Back to Motion Physical Therapy

  • Physical Therapist
  • Howard Beach, NY
National Provider Identifier
1396780482
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
A TO Z PHYSICAL THERAPY PC
Doing business as
Back to Motion Physical Therapy
Practice address
8610 151St Ave
Suite # LK
Howard Beach, NY 11414-1332
Phone
(917) 318-5303
NPI assigned
Jun 20, 2006
Last updated
Jun 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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

Authorized official

Name
Kishore KanduriNPI 1740226281
Title
Sole Prorieter
Phone
(917) 318-5303

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 Therapist 225100000X NU Primary

Addresses

Primary practice location

8610 151St Ave
Suite # LK
Howard Beach, NY 11414-1332

Mailing address

113 Tived LN E
Edison, NJ 08837-3077

Other identifiers 1

IdentifierTypeStateIssuer
A100098026OtherNYMEDICARE PTAN

Other names 1

  • Back to Motion Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100527000075 NY Part B Supplier - Clinic/Group Practice 1153450382 Receives reassigned benefits from 2 practitioners
Practice locations: Howard Beach, NY; Middletown, NY

National Provider Directory

National Provider Directory

Locations

8610 151st Ave
Ste Lk
Howard Beach, NY 11414
Phone (718) 487-3406

643 Route 211 E
Ste 4
Middletown, NY 10941
Phone (845) 381-1164

Practitioners & affiliated clinicians

Practitioners 2

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": "1464739200000",
    "number": "1396780482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 TIVED LN E",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8610 151ST AVE",
            "address_2": "SUITE # LK",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114141332",
            "telephone_number": "917-318-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A TO Z PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2016-06-01",
        "status": "A",
        "authorized_official_last_name": "KANDURI",
        "authorized_official_first_name": "KISHORE",
        "authorized_official_title_or_position": "SOLE PRORIETER",
        "authorized_official_telephone_number": "917-318-5303"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "A100098026",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back to Motion Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Howard Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.