OrganizationActive
Active Healing Physical Therapy, PLLC
NPI 1003192121 · Physical Therapy Clinic/Center · Jamaica, NY
Provider details
- NPI number
- 1003192121
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Imrul Kabir, President/ Physical Therapy(718) 314-6763
- License
- 018530 (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
16902 Highland Ave Bsmt
Jamaica, NY 11432-2632
Phone: (718) 844-4832
Fax: (347) 923-3217
Street-level locationGet directions
Mailing address
8450 169th St
Jamaica, NY 11432-2049
Additional practice locations (2)
- 303 Beverley RdBrooklyn, NY 11218-3151Phone: (718) 844-4623Fax: (347) 923-3217
- 4122 75th StElmhurst, NY 11373-1956Phone: (718) 314-6763Fax: (347) 923-3217
Registry dates
- Enumerated
- 2011-11-02
- Last updated
- 2022-04-04
- Certified
- 2022-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.