Provider Demographics
NPI:1982308995
Name:LIVE IN MOTION PHYSICAL THERAPY P.C.
Entity Type:Organization
Organization Name:LIVE IN MOTION PHYSICAL THERAPY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:YELENA
Authorized Official - Middle Name:
Authorized Official - Last Name:PINKHAOSOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-247-8845
Mailing Address - Street 1:6360 98TH ST APT A20
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-2217
Mailing Address - Country:US
Mailing Address - Phone:347-247-8845
Mailing Address - Fax:
Practice Address - Street 1:6360 98TH ST APT A20
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-2217
Practice Address - Country:US
Practice Address - Phone:347-247-8845
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy