NPIMap

Organization Active NPI

Back to Move PT. PC

Doing business as Bac to Move PT

  • Physical Therapist
  • Jamaica, NY
National Provider Identifier
1548851702
Registry record updated Jan 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BACK TO MOVE PT. PC
Doing business as
Bac to Move PT
Practice address
20412 Hillside Ave
Jamaica, NY 11423
Phone
(929) 200-1073
Fax
(929) 955-9714
NPI assigned
Jan 31, 2021
Last updated
Jan 31, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2021

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

Authorized official

Name
Dr. Moamen HassanenNPI 1114407491
Title
Owner
Phone
(646) 300-5184

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

20412 Hillside Ave
Jamaica, NY 11423

Mailing address

2775 E12Th Street Apt 228
Brooklyn, NY 11235
Phone (646) 300-5184

Other names 1

  • Bac to Move PT Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL WebPT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1612051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612051200000",
    "number": "1548851702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 E12TH STREET APT 228",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "646-300-5184",
            "fax_number": "929-955-9714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20412 HILLSIDE AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11423",
            "telephone_number": "929-200-1073",
            "fax_number": "929-955-9714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO MOVE PT. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-31",
        "last_updated": "2021-01-31",
        "certification_date": "2021-01-31",
        "status": "A",
        "authorized_official_last_name": "HASSANEN",
        "authorized_official_first_name": "MOAMEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-300-5184",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "WebPT",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "address_1": "20412 Hillside ave",
            "city": "Jamaica",
            "state": "NY",
            "country_code": "US",
            "postal_code": "11423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Bac to Move PT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2021; 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.