ACTIVE HEALING PHYSICAL THERAPY, PLLC (NPI# 1003192121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003192121 |
| Entity Type | Organization |
| Organization Name | ACTIVE HEALING PHYSICAL THERAPY, PLLC |
| Practice Address |
16902 Highland Ave Bsmt Jamaica NY 11432-2632 |
| Mailing Address |
8450 169th St Apt 415 Jamaica NY 11432-2049 |
| Practice Telephone | 7188444832 |
| Practice Fax Number | 3479233217 |
| Mailing Telephone | 7183146763 |
| Mailing Fax Number | 3479233217 |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2020-05-21 |
| Authorized Official Name | DR. IMRUL KABIR (PRESIDENT/ PHYSICAL THERAPY) |
| Authorized Official Telephone | 7183146763 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
018530 | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03435572 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 303 Beverley Rd, Brooklyn, NY 112183151 | 7188444623 | 3479233217 |
| 3731 76th St Ste 1, Jackson Heights, NY 113726555 | 7188444198 | 3479233217 |
| Street Address |
16902 HIGHLAND AVE BSMT |
| City | JAMAICA |
| State | NY |
| Zip Code | 11432-2632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396361259 | Banani Road 11 LLC | Pharmacy | 181-04 Hillside Ave, Jamaica, NY 11432 | 2020-06-17 |
| 1023633450 | Staphanie Anang | Licensed Practical Nurse | 30 Wexford Terrace Apt 3 Jj., Jamaica, NY 11432 | 2020-06-11 |
| 1205459476 | Jasmine Kaur Sandhu | Student in an Organized Health Care Education/Training Program | 87-68 164th St, N Building, 7th Floor, Rm N733, Jamaica, NY 11432 | 2020-05-22 |
| 1225650385 | Alli El-ijla | Student in an Organized Health Care Education/Training Program | Queens Hospital Center 82-68 164th Street, Jamaica, NY 11432 | 2020-05-12 |
| 1346869955 | Liane Zwetzich | Student in an Organized Health Care Education/Training Program | Queens Hospital Center, 82-68 164th Street, Jamaica, NY 11432 | 2020-04-14 |
| 1528697141 | Bahtiyar Toz | Student in an Organized Health Care Education/Training Program | 82-68 164th Street Queens Hospital Center, Jamaica, NY 11432 | 2020-04-06 |
| 1366089468 | Alisha Jnobaptiste | Counselor | 87-59 171 St., Jamaica, NY 11432 | 2019-12-08 |
| 1356995054 | Shawnette Natasha Brown | Counselor | 178-02/04 Jamaica Ave, Jamaica, NY 11432 | 2019-07-31 |
| 1518527142 | Magdalene Vidal | Case Manager/Care Coordinator | 177 30 Wexford Terrace, Suite A, Jamaica, NY 11432 | 2019-06-17 |
| 1811550338 | Rong Fan | Student in an Organized Health Care Education/Training Program | 88-68 164th St, Dept of Ob/gyn Rm B265, Jamaica, NY 11432 | 2019-04-19 |
| Find all providers in zip 11432 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831796713 | Quality Movement Restoration, LLC | Clinic/Center | 12027 165th St, Jamaica, NY 11434-2526 | 2020-10-05 |
| 1053932582 | Trinity Health Chiropractic PC | Clinic/Center | 16519 Hillside Ave, Jamaica, NY 11432-4134 | 2020-05-06 |
| 1265902464 | Daniel Mercado Pt PC | Clinic/Center | 17561 Hillside Ave Ste 400, Jamaica, NY 11432-5769 | 2018-11-29 |
| 1710381017 | Marlene Bradnock | Clinic/Center | 178-18 120 Ave, Jamaica, NY 11434 | 2014-10-15 |
| 1215278395 | Concierge Chiropractic Healthcare | Clinic/Center | 14843 Hillside Ave, Jamaica, NY 11435-3330 | 2013-03-14 |
| 1043595507 | St Albans Medical PC | Clinic/Center | 199-12 Hollis Avenue, 1st Fl, Jamaica, NY 11412-1232 | 2011-10-17 |
| 1194969931 | Best Hands-on Physical Therapy PC | Clinic/Center | 8944 162nd St, Ground Floor, Jamaica, NY 11432-5045 | 2009-04-23 |
| 1992850895 | Kmrc, LLC | Clinic/Center | 175-61 Hillside Avenue 4th Floor, Suite 400, Jamaica, NY 11432 | 2007-01-24 |
| 1902314099 | Physio-alternative Physical Therapy PC | Clinic/Center | 14431 Jamaica Ave, Jamaica, NY 11435-3623 | 2018-01-11 |
| 1548629736 | Physiodynamics LLC | Clinic/Center | 14431 Jamaica Ave, Jamaica, NY 11435-3623 | 2016-02-16 |
| Find all providers in JAMAICA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.