Living in Motion Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

LIVING IN MOTION PHYSICAL THERAPY PC

Practice address

14454 Sanford Ave Apt 18
Flushing, NY 11355-1620

Phone

(347) 696-5575

NPI assigned

Feb 26, 2020

Organization subpart

No

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

Authorized official

Name

Chulbum Lim

Title

President

Phone

(347) 696-5575

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1740814904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 HIGH ST",
            "city": "NORWOOD",
            "state": "NJ",
            "postal_code": "076481237",
            "telephone_number": "347-696-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14454 SANFORD AVE APT 18",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113551620",
            "telephone_number": "347-696-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING IN MOTION PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-26",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "CHULBUM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-696-5575"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04695290",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Flushing, NY
• Providers in Flushing, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; 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.