Active Physical Therapy PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

025433-1 Issued in NY

Legal business name

ACTIVE PHYSICAL THERAPY PLLC

Practice address

2127 Palmer Avenue
Larchmont, NY 10538

Phone

(914) 630-7724

Fax

(914) 630-7725

NPI assigned

Oct 20, 2011

Last updated

Aug 1, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Derrick M May, PT, MSNPI 1033161914

Title

President

Phone

(914) 630-7724

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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.

• Derrick Marshall May, MS, PT, ATC, CSCS

  • Physical Therapist
  • Larchmont, NY
  • NPI 1033161914
  Medicare reassignment NPD Authorized official
• Jose M. Gonzalez-Velasquez, PT, DPT

  • Physical Therapist
  • Union, NJ
  • NPI 1073905824

  NY

  Medicare reassignment NPD

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

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406851200000",
    "number": "1669757746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 PALMER AVENUE",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "10538",
            "telephone_number": "914-630-7724",
            "fax_number": "914-630-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 PALMER AVENUE",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "10538",
            "telephone_number": "914-630-7724",
            "fax_number": "914-630-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-20",
        "last_updated": "2014-08-01",
        "status": "A",
        "authorized_official_last_name": "MAY",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-630-7724",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, MS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "025433-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Abdou, DPM
• Helen Kaufman Abramowicz, MD
• Kim Josette Abrams, M.D.
• Simon Abramson
• Juliet Adjei-Baffour
• Corinna Akua Afriyie
• Allison Stahl, LCSW LLC
• Almarc Drugs
• John Ralph Almonte-Abreu

• Physical Therapy Clinic/Center in Larchmont, NY
• Providers in Larchmont, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; 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.