NPIMap

Organization Active NPI

Body in Balance Physical Therapy ,PC

Doing business as Millennium Physical Therapy and Sports Medicine

  • Specialist
  • Sunnyside, NY
National Provider Identifier
1952526014
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
4348 48TH St
Sunnyside, NY 11104-1602
Phone
(718) 707-0824
Fax
(718) 472-9555
NPI assigned
Apr 16, 2007
Last updated
Nov 12, 2010By the provider in NPPES
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
Specialist 174400000X NU Primary

Addresses

Primary practice location

4348 48TH St
Sunnyside, NY 11104-1602

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

National Provider Directory

National Provider Directory
Tax ID family
Body in Balance Physical Therapy PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the 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, 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": "1952526014",
    "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": "4348 48TH ST",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111041602",
            "telephone_number": "718-707-0824",
            "fax_number": "718-472-9555"
        }
    ],
    "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": "",
            "desc": "Specialist",
            "state": "NU",
            "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 Sunnyside, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.