NPIMap

Organization Active NPI

Manual and Movement Based Physical Therapy

  • Physical Therapy Clinic/Center
  • Yorktown Heights, NY
National Provider Identifier
1639310105
Registry record updated Nov 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MANUAL AND MOVEMENT BASED PHYSICAL THERAPY
Practice address
1853 Commerce St
Yorktown Heights, NY 10598-4432
Phone
(914) 484-8246
NPI assigned
Mar 13, 2009
Last updated
Nov 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2010

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

Authorized official

Name
Mr. Kyle Mack, PTNPI 1467650424
Title
President
Phone
(914) 484-8246

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 Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1853 Commerce St
Yorktown Heights, NY 10598-4432

Mailing address

PO Box 736
Mohegan Lake, NY 10547-0736
Phone (914) 484-8246

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": "1236902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290384000000",
    "number": "1639310105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 736",
            "city": "MOHEGAN LAKE",
            "state": "NY",
            "postal_code": "105470736",
            "telephone_number": "914-484-8246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1853 COMMERCE ST",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105984432",
            "telephone_number": "914-484-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUAL AND MOVEMENT BASED PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-13",
        "last_updated": "2010-11-22",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-484-8246",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; 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.