=====================================================
General NPI Number Information
=====================================================
NPI Number | 1538087259
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MOVEMENT INITIATIVE PHYSICAL AND OCCUPATIONAL THERAPY PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/09/2026
-----------------------------------------------------
Last Update Date | 07/09/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 585 STEWART AVE STE 590
-----------------------------------------------------
City | GARDEN CITY
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11530-4785
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 646-389-1161
-----------------------------------------------------
Fax | 201-591-7839
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 585 STEWART AVE STE 590
-----------------------------------------------------
City | GARDEN CITY
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11530-4785
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 646-389-1161
-----------------------------------------------------
Fax | 201-591-7839
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER, MANAGING MEMBER
-----------------------------------------------------
Name | BHAVIK SHETH
-----------------------------------------------------
Credential | PT, DPT
-----------------------------------------------------
Telephone | 646-389-1161
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 2251C2600X
-----------------------------------------------------
Taxonomy Name | Cardiopulmonary Physical Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 225X00000X
-----------------------------------------------------
Taxonomy Name | Occupational Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------