BODY AND BALANCE PHYSICAL THERAPY,PC (NPI# 1790837953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790837953 |
| Entity Type | Organization |
| Organization Name | BODY AND BALANCE PHYSICAL THERAPY,PC |
| Other Organization Name | MILLENNIUM PHYSICAL THERAPY & SPORTS MEDICINE |
| Practice Address |
19413 Northern Blvd Flushing NY 11358-3032 |
| Mailing Address |
22415 Horace Harding Expy Oakland Gardens NY 11364-2301 |
| Practice Telephone | 7184289369 |
| Practice Fax Number | 7184239825 |
| Mailing Telephone | 6465775661 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. THEODOSIOS NEAMONITIS (PRESIDENT) |
| Authorized Official Telephone | 7184289369 |
| 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 |
62028308 | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | LICENSE | 62028308 | 01 |
| Other Name | Type Code |
|---|---|
| Millennium Physical Therapy & Sports Medicine | Doing Business As Name - Organization |
| Street Address |
19413 NORTHERN BLVD |
| City | FLUSHING |
| State | NY |
| Zip Code | 11358-3032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821045303 | Mark Vincent Caballero Mabida | Physical Therapist | 19413 Northern Blvd, Flushing, NY 11358-3032 | 2006-05-28 |
| 1104251156 | Andreas Saltas | Physical Therapist | 19413 Northern Blvd, Flushing, NY 11358-3032 | 2013-09-10 |
| 1417227133 | Select Chiropractic & Physical Therapy Pllc | Chiropractor | 19413 Northern Blvd, Flushing, NY 11358-3032 | 2012-01-11 |
| 1780952796 | Body In Balance Physical Therapy | Specialist | 19413 Northern Blvd, Flushing, NY 11358-3032 | 2011-12-05 |
| 1154505592 | Hand In Hand Occupational Therapy, PC | Specialist | 19413 Northern Blvd, Flushing, NY 11358-3032 | 2007-12-20 |
| 1003970666 | Ning Cao Medical Services, PC | Internal Medicine | 19413 Northern Blvd, Flushing, NY 11358-3032 | 2006-12-20 |
| 1316959364 | Brian W Freindlich | Chiropractor | 19413 Northern Blvd, Flushing, NY 11358-3032 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508485269 | Jeong Seo | Acupuncturist | 163-26 Northern Blvd, Flushing, Flushing, NY 11358 | 2020-04-13 |
| 1447886510 | Leemaster Corp | Durable Medical Equipment & Medical Supplies | 163-15 Northern Blvd., Unit 2, Flushing, NY 11358 | 2020-03-20 |
| 1912541517 | Myeong R. Choi Acupuncture P.C. | Acupuncturist | 164-10 Crocheron Avenue, Flushing, NY 11358 | 2019-11-06 |
| 1417512203 | Jaekwan Lee | Physical Therapist | 4362 162nd Street, 2nd Floor, Flushing, NY 11358 | 2019-05-07 |
| 1841786324 | Sunshine Rehab Pt PC | Physical Therapist | 19840 32nd Ave Apt B2, Flushing, NY 11358 | 2018-07-08 |
| 1720575756 | Function Integrate Physical Therapy, P.C. | Clinic/Center | 42-10 164th Street, Flushing, NY 11358 | 2018-04-16 |
| 1275055402 | Alexandra Sara Miller | Registered Nurse | 43-43 166th Street, Flushing, NY 11358 | 2017-07-10 |
| 1245750520 | Seongrak Kang | Physical Therapist | 42-12 164th St 1fl, Flushing, NY 11358 | 2017-06-27 |
| 1306366851 | Margaret O'neill | Registered Nurse | 17209 Crocheron Ave C4, Flushing, NY 11358 | 2017-06-26 |
| 1063957280 | Joel Choi | Specialist/Technologist | 3636 166th St, 2nd Fl, Flushing, NY 11358 | 2016-12-24 |
| Find all providers in zip 11358 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760028625 | Jeongwook So | Clinic/Center | 3635 167th St Apt 3m, Flushing, NY 11358-2112 | 2019-11-25 |
| 1437709912 | Min Physical Therapy PC | Clinic/Center | 13620 38th Ave Ste 6m, Flushing, NY 11354-4264 | 2019-09-16 |
| 1063990687 | Harmony Care Physical Therapy PC | Clinic/Center | 35-05 Farrington Street, Ste A, Flushing, NY 11354 | 2018-08-06 |
| 1720575756 | Function Integrate Physical Therapy, P.C. | Clinic/Center | 42-10 164th Street, Flushing, NY 11358 | 2018-04-16 |
| 1952839326 | Jin Physical Therapy P.C. | Clinic/Center | 13668 Roosevelt Ave # 803, Flushing, NY 11354-5510 | 2017-05-31 |
| 1568907921 | Queens Wellness Physical Therapy PC | Clinic/Center | 164-10 Northern Blvd., Suite 200, Flushing, NY 11358 | 2016-12-21 |
| 1801253109 | Gil Gal Physical Therapy P.C. | Clinic/Center | 18919 45th Dr, #1floor, Flushing, NY 11358-3412 | 2016-01-19 |
| 1043604028 | Sense Physical Therapy PC | Clinic/Center | 14327 Roosevelt Ave, Flushing, NY 11354-6139 | 2015-03-26 |
| 1275933905 | Dynamism Therapy, Inc. | Clinic/Center | 4035 191st St Apt 1, Flushing, NY 11358-2820 | 2014-08-29 |
| 1619241221 | Advance Therapeutic Care Physical Therapy PC | Clinic/Center | 4519 162nd St Ste 2, Flushing, NY 11358-3137 | 2012-02-28 |
| Find all providers in FLUSHING | ||||
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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.