NPIMap

Organization Active NPI

Body in Balance Physical Therapy ,PC

Doing business as Millennium physical Therapy and Sports Medicine

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1902021058
Registry record updated Nov 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
BODY IN BALANCE PHYSICAL THERAPY ,PC
Doing business as
Millennium physical Therapy and Sports Medicine
Practice address
8616 3Rd Ave
Brooklyn, NY 11209-5135
Phone
(718) 833-4656
Fax
(718) 833-4348
NPI assigned
Apr 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2010

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

Authorized official

Name
Mr. Theodosios Neamonitis, D.P.TNPI 1396794228
Title
Owner
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 Primary

Addresses

Primary practice location

8616 3Rd Ave
Brooklyn, NY 11209-5135

Mailing address

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

Other names 1

  • Millennium physical Therapy and Sports Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041216000212 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3173580651 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Astoria, NY; Sunnyside, NY; New York, NY; Flushing, NY; Brooklyn, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

3063 38th St
Ste B
Astoria, NY 11103
Phone (718) 626-2222

Practitioners & affiliated clinicians

Practitioners 9

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": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289520000000",
    "number": "1902021058",
    "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": "8616 3RD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112095135",
            "telephone_number": "718-833-4656",
            "fax_number": "718-833-4348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY IN BALANCE PHYSICAL THERAPY ,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2010-11-12",
        "status": "A",
        "authorized_official_last_name": "NEAMONITIS",
        "authorized_official_first_name": "THEODOSIOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-932-1269",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.P.T"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millennium physical Therapy and Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; 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.