Active East Physical Therapy, PC

Organization Sports Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1861715831

Active East Physical Therapy, PC is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Southampton, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in: NY
In the registry since: 2010

What do these letters mean?

PC — Professional corporation: A form of business registration, not a clinical qualification.

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Practice location Address checks out

1370 Majors Path Ste A
Southampton, NY 11968-2431
Phone: (631) 377-3488

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary)	Taxonomy 2081S0010X · Licence 0163951 (NY)

Record details

NPI number	1861715831
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Matthew Mobius — Owner · (631) 377-3488
NPI enumerated	March 5, 2010
Last updated in NPPES	April 17, 2012
Mailing address	Po Box 967, Southampton, NY 11969-0967