OrganizationActive
Advanced Sports, Physical & Orthopedic Rehabilitative Therapy Services
NPI 1336225572 · Orthopedic Physical Therapist · Fresh Meadows, NY
Provider details
- NPI number
- 1336225572
- Entity type
- Organization
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Joseph Capobianco, Vice President(718) 820-9300
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
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
19 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
17660 Union Tpke
Suite 195
Fresh Meadows, NY 11366-1531
Phone: (718) 820-9300
Fax: (718) 820-9382
Street-level locationGet directions
Mailing address
17660 Union Tpke
Fresh Meadows, NY 11366-1531
Other names (DBA / former)
- Doing business as
- Advanced S.p.o.r.t.s.
Registry dates
- Enumerated
- 2006-10-31
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.