Active Healing Physical Therapy, PLLC
Clinic/Center, Physical Therapy in Jamaica, NY. Organization (NPI-2).
NPI number1003192121
StatusActive
Last updated in NPPESApr 4, 2022
Details
- NPI
- 1003192121
- Entity type
- Organization (NPI-2)
- Legal business name
- Active Healing Physical Therapy, PLLC
- Organization subpart
- No
- Enumeration date
- Nov 2, 2011
- Certification date
- Apr 4, 2022
- Last updated
- Apr 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | 018530 | NY | Yes |
Practice location
16902 Highland Ave BsmtJamaica, NY 11432-2632
Phone 718-844-4832 · Fax 347-923-3217
Mailing address
8450 169th StApt 415
Jamaica, NY 11432-2049
Phone 718-314-6763 · Fax 347-923-3217
Other practice locations
303 Beverley Rd
Brooklyn, NY 11218-3151
Brooklyn, NY 11218-3151
Phone 718-844-4623 · Fax 347-923-3217
4122 75th St
Elmhurst, NY 11373-1956
Elmhurst, NY 11373-1956
Phone 718-314-6763 · Fax 347-923-3217
Authorized official
Imrul Kabir
President/ Physical Therapy
7183146763
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