Organization Active NPI

Intellimoves Therapeutics Physical Therapy PLLC

  • Pediatric Physical Therapist
  • Somers, NY
National Provider Identifier
1992417299
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
Legal business name
INTELLIMOVES THERAPEUTICS PHYSICAL THERAPY PLLC
Practice address
5 Boulder Pond Dr
Somers, NY 10589-3052
Phone
(845) 264-9285
NPI assigned
Dec 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Authorized official

Name
Melanie Jean Burns
Title
Ceo
Phone
(845) 264-9285

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251P0200X Primary

Addresses

Primary practice location

5 Boulder Pond Dr
Somers, NY 10589-3052

Mailing address

5 Boulder Pond Dr
Somers, NY 10589-3052
Phone (845) 264-9285

National Provider Directory

National Provider Directory

Locations

7 Miller Rd
Lowr
Mahopac, NY 10541
Phone (845) 264-9285

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671408000000",
    "number": "1992417299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BOULDER POND DR",
            "city": "SOMERS",
            "state": "NY",
            "postal_code": "105893052",
            "telephone_number": "845-264-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BOULDER POND DR",
            "city": "SOMERS",
            "state": "NY",
            "postal_code": "105893052",
            "telephone_number": "845-264-9285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTELLIMOVES THERAPEUTICS PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-18",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "845-264-9285"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.