Provider Demographics
NPI:1285475087
Name:MY MOVEMENT PHYSICAL THERAPY PC
Entity type:Organization
Organization Name:MY MOVEMENT PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HOSSAMALDEN
Authorized Official - Middle Name:BASSIOUNY
Authorized Official - Last Name:ALBASSIOUNY
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:929-340-0234
Mailing Address - Street 1:2347 82ND ST FL 1
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-2711
Mailing Address - Country:US
Mailing Address - Phone:929-340-0234
Mailing Address - Fax:
Practice Address - Street 1:7819 BAY PKWY PH 1
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-1571
Practice Address - Country:US
Practice Address - Phone:929-340-0234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-05
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy