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

Stay Active Physical Therapy, PLLC

Organization Physical Therapist · NPI 1003441098

Stay Active Physical Therapy, PLLC is a Physical Therapist in Brooklyn, New York. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

297 Bay 20th St Apt 2
Brooklyn, NY 11214-6011
Phone: (917) 915-3894
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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 number1003441098
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alexander Aksanov — President · (917) 915-3894
NPI enumeratedMarch 10, 2020
Last updated in NPPESMarch 10, 2020
Certification dateMarch 10, 2020
Mailing address9322 3rd Ave Ste 476, Brooklyn, NY 11209-6802

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