Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Active Mobility Physical Therapy PC

Organization Physical Therapist · NPI 1235995408

Active Mobility Physical Therapy PC provides Physical Therapist services in Bethpage, New York. Registered with an NPI since 2024.

In the registry since
2024
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

59 Martin Rd N
Bethpage, NY 11714-5119
Phone: (516) 680-5484
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1235995408
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Khurshid Ibrahimi — Director · (516) 680-5484
NPI enumeratedFebruary 26, 2024
Last updated in NPPESJuly 30, 2025
Certification dateJuly 30, 2025
Mailing address59 Martin Rd N, Bethpage, NY 11714-5119

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