Active NPI
Move Fit Physical Therapy PC
- Physical Therapist
- Middletown, NY
National Provider Identifier
1891484952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- MOVE FIT PHYSICAL THERAPY PC
- Practice address
- 156 Dolson Ave Ste 11
Middletown, NY 10940-6560 - Phone
- (845) 360-2500
- Fax
- (845) 345-8201
- NPI assigned
- May 4, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dae Hoon Kim, DPT
- Title
- Owner
- Phone
- (646) 306-8442
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
156 Dolson Ave Ste 11
Middletown, NY 10940-6560
Mailing address
156 Dolson Ave Ste 11
Middletown, NY 10940-6560
Phone (646) 306-8442
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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": "1683158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683244800000",
"number": "1891484952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "156 DOLSON AVE STE 11",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109406560",
"telephone_number": "646-306-8442",
"fax_number": "845-345-8201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "156 DOLSON AVE STE 11",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109406560",
"telephone_number": "845-360-2500",
"fax_number": "845-345-8201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOVE FIT PHYSICAL THERAPY PC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-04",
"last_updated": "2023-05-05",
"certification_date": "2023-05-05",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "DAE HOON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "646-306-8442",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; 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.