Provider Demographics
NPI:1700166279
Name:BE FIT PHYSICAL THERAPY, PLLC
Entity Type:Organization
Organization Name:BE FIT PHYSICAL THERAPY, PLLC
Other - Org Name:BE FIT THERAPY, PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:ZIMMERMAN
Authorized Official - Last Name:AITKEN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT, SCS, ATC, CSCS
Authorized Official - Phone:212-256-0445
Mailing Address - Street 1:405 MAIN ST STE 6
Mailing Address - Street 2:
Mailing Address - City:PORT WASHINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11050-3135
Mailing Address - Country:US
Mailing Address - Phone:212-256-0445
Mailing Address - Fax:212-510-8018
Practice Address - Street 1:405 MAIN ST STE 6
Practice Address - Street 2:
Practice Address - City:PORT WASHINGTON
Practice Address - State:NY
Practice Address - Zip Code:11050-3135
Practice Address - Country:US
Practice Address - Phone:212-256-0445
Practice Address - Fax:212-510-8018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-28
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027800225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP3720109OtherOXFORD FREEDOM PLAN
NYQ601B1OtherEMPIRE BCBS