Healthcare Provider Details

I. General information

NPI: 1942110861
Provider Name (Legal Business Name): MAN IN MOTION PHYSICAL THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 COLUMBUS AVE
TUCKAHOE NY
10707-2506
US

IV. Provider business mailing address

578 ROUTE 304
NEW CITY NY
10956-2925
US

V. Phone/Fax

Practice location:
  • Phone: 845-709-1150
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MAN TRINH
Title or Position: PHYSICAL THERAPIST/OWNER
Credential: DPT
Phone: 845-709-1150