Provider Demographics
NPI:1184433245
Name:JOHNNY MOVEMENT PHYSICAL THERAPY PC
Entity type:Organization
Organization Name:JOHNNY MOVEMENT PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHNNY
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:929-268-4472
Mailing Address - Street 1:7228 YELLOWSTONE BLVD
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11375-4134
Mailing Address - Country:US
Mailing Address - Phone:646-591-5988
Mailing Address - Fax:
Practice Address - Street 1:418 E 71ST ST FL 6
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4892
Practice Address - Country:US
Practice Address - Phone:929-268-4472
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-03
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty