NPIMap

Organization Active NPI

Body in Balance Physical Therapy

Doing business as Millennium Physical Therapy & Sports Medicine

  • Specialist
  • Flushing, NY
National Provider Identifier
1780952796
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
024817-1 Issued in NY
Legal business name
BODY IN BALANCE PHYSICAL THERAPY
Doing business as
Millennium Physical Therapy & Sports Medicine
Practice address
19413 Northern Blvd
Flushing, NY 11358-3032
Phone
(718) 428-3500
Fax
(718) 428-0800
NPI assigned
Dec 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

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

Authorized official

Name
Mr. Theodosios Neamonitis, DPTNPI 1396794228
Title
Owner/President/Physical Therapist
Phone
(718) 932-1269

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 024817-1 NY Primary

Addresses

Primary practice location

19413 Northern Blvd
Flushing, NY 11358-3032

Mailing address

3063 38TH St FL B
Astoria, NY 11103-3803
Phone (718) 932-1269

Other names 1

  • Millennium Physical Therapy & Sports Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Body in Balance Physical Therapy PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the 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.

NPI Registry JSON

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323043200000",
    "number": "1780952796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3063 38TH ST FL B",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033803",
            "telephone_number": "718-932-1269",
            "fax_number": "718-932-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19413 NORTHERN BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113583032",
            "telephone_number": "718-428-3500",
            "fax_number": "718-428-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY IN BALANCE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-05",
        "last_updated": "2011-12-05",
        "status": "A",
        "authorized_official_last_name": "NEAMONITIS",
        "authorized_official_first_name": "THEODOSIOS",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "718-932-1269",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "024817-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millennium Physical Therapy & Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.