Organization Active NPI

Move Fit Physical Therapy PC

  • Physical Therapist
  • Middletown, NY
National Provider Identifier
1891484952
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on May 5, 2023

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

Authorized official

Name
Dae Hoon Kim, DPTNPI 1073237400
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)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20230608000050 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5294192167 Receives reassigned benefits from 1 practitioner
Practice locations: Middletown, NY

National Provider Directory

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": "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.

Verify at the official NPI Registry.