Healthcare Provider Details

I. General information

NPI: 1992206007
Provider Name (Legal Business Name): BODY MOVEMENT PHYSIOTHERAPY P.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2018
Last Update Date: 01/03/2020
Certification Date: 01/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

560 NORTHERN BLVD STE 106B
GREAT NECK NY
11021-5100
US

IV. Provider business mailing address

560 NORTHERN BLVD STE 106B
GREAT NECK NY
11021-5100
US

V. Phone/Fax

Practice location:
  • Phone: 516-466-6164
  • Fax: 516-304-5712
Mailing address:
  • Phone: 516-466-6164
  • Fax: 516-304-5712

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number033944-1
License Number StateNY

VIII. Authorized Official

Name: DR. CHRISTINA ELIZABETH AURITI
Title or Position: OWNER PHYSICAL THERAPIST
Credential: DPT
Phone: 516-466-6164