Healthcare Provider Details

I. General information

NPI: 1306755343
Provider Name (Legal Business Name): THERAPY IN MOTION PHYSICAL THERAPY, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

58 PINE WOODS RD
HYDE PARK NY
12538-1657
US

IV. Provider business mailing address

58 PINE WOODS RD
HYDE PARK NY
12538-1657
US

V. Phone/Fax

Practice location:
  • Phone: 845-229-6500
  • Fax: 845-229-6181
Mailing address:
  • Phone: 845-229-6500
  • Fax: 845-229-6181

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. CRAIG EDWARD SQUIRE
Title or Position: OWNER
Credential: PT, DPT
Phone: 845-229-6500