Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Active Wellness Physical Therapy PC

Organization Physical Therapist · NPI 1679826457

Active Wellness Physical Therapy PC is a Physical Therapist in Corona, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

100-05 Roosevelt Ave 2nd Fl
Corona, NY 11368
Phone: (718) 878-4103
Fax: (718) 803-6440
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 0314231 (NY)

Record details

NPI number1679826457
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sabiniano Mangguray — Owner · (718) 878-4103
NPI enumeratedOctober 18, 2012
Last updated in NPPESOctober 18, 2012
Mailing address100-05 Roosevelt Ave, 2nd Floor, Corona, NY 11368

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