Organization Active NPI

Mindful Motion Physical Therapy PLLC

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1912601006
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MINDFUL MOTION PHYSICAL THERAPY PLLC
Practice address
673 Hart St
Brooklyn, NY 11221-8616
Phone
(347) 626-3694
NPI assigned
Mar 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Authorized official

Name
Yuchen HeNPI 1346741790
Title
Owner
Phone
(631) 524-0420

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: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

673 Hart St
Brooklyn, NY 11221-8616

Mailing address

803 Quincy St Apt 2F
Brooklyn, NY 11221-8233
Phone (631) 524-0420

Other practice location 1

24 Wilson Ave
Brooklyn, NY 11237-2491
Phone (631) 524-0420

Other practice location 2

803 Quincy St Apt 2F
Brooklyn, NY 11221-8233
Phone (631) 524-0420

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230907002940 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2769846864 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1680134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749168000000",
    "number": "1912601006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 QUINCY ST APT 2F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112218233",
            "telephone_number": "631-524-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "673 HART ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112218616",
            "telephone_number": "347-626-3694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Wilson Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112372491",
            "country_code": "US",
            "telephone_number": "631-524-0420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "803 Quincy St Apt 2F",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112218233",
            "country_code": "US",
            "telephone_number": "631-524-0420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINDFUL MOTION PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-30",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A",
        "authorized_official_last_name": "HE",
        "authorized_official_first_name": "YUCHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-524-0420"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 6, 2025; 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.