OrganizationActive
360 Physical Therapy Wellness PC
NPI 1053906271 · Physical Therapist · New York, NY
Provider details
- NPI number
- 1053906271
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Jack Zuckerman, President(646) 397-3454
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
51 E 125th St Frnt 3
New York, NY 10035-1688
Phone: (646) 397-3454
Street-level locationGet directions
Mailing address
51 E 125th St Ste 3e
New York, NY 10035-1685
Registry dates
- Enumerated
- 2021-03-09
- Last updated
- 2024-06-17
- Certified
- 2024-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.