Organization Active NPI

Moment Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • New York, NY
National Provider Identifier
1700629557
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MOMENT PHYSICAL THERAPY, P.C.
Practice address
2 W 45TH St Ste 201
New York, NY 10036-4269
Phone
(734) 664-1649
NPI assigned
Jun 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Authorized official

Name
Kristianna Fata-ChanNPI 1699300897
Title
Owner
Phone
(734) 664-1649

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 Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

2 W 45TH St Ste 201
New York, NY 10036-4269

Mailing address

3055 Vernon Blvd
Astoria, NY 11102-4025
Phone (734) 664-1649

Other practice location 1

4402 11th St Ste 510
Long Island City, NY 11101-5191
Phone (914) 863-7387

Other practice location 2

182 Mulberry St
New York, NY 10012-4571
Phone (914) 863-7387

National Provider Directory

National Provider Directory

Locations

4402 11th St
Ste 510
Long Island City, NY 11101
Phone (914) 863-7387

3055 Vernon Blvd
Long Island City, NY 11102
Phone (718) 956-9111

2 W 45th St
Ste 201
New York, NY 10036
Phone (734) 236-6349

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778198400000",
    "number": "1700629557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 VERNON BLVD",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111024025",
            "telephone_number": "734-664-1649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W 45TH ST STE 201",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100364269",
            "telephone_number": "734-664-1649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4402 11th St Ste 510",
            "address_purpose": "LOCATION",
            "city": "Long Island City",
            "state": "NY",
            "postal_code": "111015191",
            "country_code": "US",
            "telephone_number": "914-863-7387",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "182 Mulberry St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100124571",
            "country_code": "US",
            "telephone_number": "914-863-7387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOMENT PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-18",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A",
        "authorized_official_last_name": "FATA-CHAN",
        "authorized_official_first_name": "KRISTIANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-664-1649"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 8, 2026; 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.