Active Movement Physical Therapy PC
NPI 1053882613 · Physical Therapist · New York, NY
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Active Movement Physical Therapy PC is a Physical Therapist organization in New York, NY (NPI 1053882613).
Provider details
- NPI number
- 1053882613
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Kyoungtae Lee, Physical Therapist(929) 333-4564
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 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
Mailing address
Additional practice locations (1)
- 175 Fulton Ave Ste 503Hempstead, NY 11550-3702Phone: (929) 333-4564
Registry dates
- Enumerated
- 2018-12-07
- Last updated
- 2022-11-08
- Certified
- 2022-11-08
Frequently asked questions
- What is Active Movement Physical Therapy PC's NPI number?
- Active Movement Physical Therapy PC's National Provider Identifier (NPI) is 1053882613, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Active Movement Physical Therapy PC?
- Active Movement Physical Therapy PC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Active Movement Physical Therapy PC located?
- Active Movement Physical Therapy PC's practice location on file with NPPES is 370 Lexington Ave Rm 312, New York, NY 10017-6564.
- What is Active Movement Physical Therapy PC's phone number?
- The practice phone number listed in the NPPES registry for Active Movement Physical Therapy PC is (212) 286-9800.
- Does Active Movement Physical Therapy PC accept Medicare?
- Active Movement Physical Therapy PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Active Movement Physical Therapy PC?
- The authorized official listed on Active Movement Physical Therapy PC's NPPES record is Kyoungtae Lee, Physical Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Active Movement Physical Therapy PC's NPI active?
- Yes — Active Movement Physical Therapy PC's NPI (1053882613) is active in the NPPES registry as of the last update on 2022-11-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.