NPIMap

Organization Active NPI

At Home Active Motion Physical Therapy Services, P.C.

  • Physical Therapist
  • East Islip, NY
National Provider Identifier
1871728550
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
026869-1 Issued in NY
Legal business name
AT HOME ACTIVE MOTION PHYSICAL THERAPY SERVICES, P.C.
Practice address
5 Tupelo LN
East Islip, NY 11730-2411
Phone
(866) 605-5634
Fax
(866) 605-5654
NPI assigned
May 25, 2009
Last updated
Apr 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Authorized official

Name
Rosario Accardi, PTNPI 1730298332
Title
Owner
Phone
(866) 605-5634

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 Therapist 225100000X 026869-1 NY Primary

Addresses

Primary practice location

5 Tupelo LN
East Islip, NY 11730-2411

Mailing address

5 Tupelo LN
East Islip, NY 11730-2411
Phone (866) 605-5634

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1243209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1871728550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 TUPELO LN",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302411",
            "telephone_number": "866-605-5634",
            "fax_number": "866-605-5654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 TUPELO LN",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302411",
            "telephone_number": "866-605-5634",
            "fax_number": "866-605-5654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME ACTIVE MOTION PHYSICAL THERAPY SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-25",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "ACCARDI",
        "authorized_official_first_name": "ROSARIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "866-605-5634",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "026869-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.