Organization Active NPI

Active Physical Therapy Services, PLLC

  • Physical Therapist
  • New York, NY
National Provider Identifier
1518511005
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ACTIVE PHYSICAL THERAPY SERVICES, PLLC
Practice address
31 W 34TH St Ste 7129
New York, NY 10001-3009
Phone
(862) 202-1895
Fax
(914) 412-9929
NPI assigned
Aug 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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

Authorized official

Name
Janne Kaminski, PT
Title
Owner
Phone
(862) 202-1895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

31 W 34TH St Ste 7129
New York, NY 10001-3009

Mailing address

31 W 34TH St Ste 7129
New York, NY 10001-3009
Phone (862) 202-1895

Other identifiers 1

IdentifierTypeStateIssuer
120636OtherNYNEY YORK REGISTRATION

National Provider Directory

National Provider Directory

Locations

31 W 34th St
Ste 7129
New York, NY 10001
Phone (862) 202-1895

NPI Registry JSON

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566518400000",
    "number": "1518511005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 W 34TH ST STE 7129",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013009",
            "telephone_number": "862-202-1895",
            "fax_number": "914-412-9929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 W 34TH ST STE 7129",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013009",
            "telephone_number": "862-202-1895",
            "fax_number": "914-412-9929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE PHYSICAL THERAPY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-01",
        "last_updated": "2019-08-23",
        "status": "A",
        "authorized_official_last_name": "KAMINSKI",
        "authorized_official_first_name": "JANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "862-202-1895",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEY YORK REGISTRATION",
            "identifier": "120636",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; 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.