MEDICARE: GREEN MOVEMENT PHYSICAL THERAPY PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1306652680
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREEN MOVEMENT PHYSICAL THERAPY PLLC

Provider Business Mailing Address
First Line	:	114 SIGNS RD
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-3836
Country	:	US
Telephone Number	:	320-262-6653
Fax Number	:

Provider Business Practice Location Address
First Line	:	945 HUGUENOT AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10312-4312
Country	:	US
Telephone Number	:	347-830-7274
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DERREK YANG
Credential	:	PT, DPT
Telephone Number	:	320-262-6653

Provider Enumeration Date	:	12/10/2024
Last Update Date	:	05/31/2025

Similar Medicare Providers

1104948553 — DR. VINCENT NOTABARTOLO DC, CCSP
Practice Location Address:

945 HUGUENOT AVE
STATEN ISLAND, NY
10312-4312

Practice Phone: 718-317-0925
Practice Fax: 718-317-1533

1861786840 — DIAGNOSTIC NEUROLIGICAL TREATMENT CENTER LLC
Practice Location Address:

945 HUGUENOT AVE
STATEN ISLAND, NY
10312-4312

Practice Phone: 718-524-0500
Practice Fax:

1811276876 — BALBOA PT
Practice Location Address:

945 HUGUENOT AVE
STATEN ISLAND, NY
10312-4312

Practice Phone: 718-816-6500
Practice Fax: 718-816-4677

1720731243 — ALEXA VULPIS L.AC
Practice Location Address:

945 HUGUENOT AVE
STATEN ISLAND, NY
10312-4312

Practice Phone: 646-434-8090
Practice Fax:

1275468167 — HOSSAMELDIN GHANEM RPH
Practice Location Address:

32 PRINCE LN
STATEN ISLAND, NY
10309-4312

Practice Phone: 347-967-7252
Practice Fax:

1376962167 — DANA CATHERINE HOWE M.S. OTR/L
Practice Location Address:

284 ROSS AVE
STATEN ISLAND, NY
10306-4312

Practice Phone: 347-563-8043
Practice Fax:

Directions to “GREEN MOVEMENT PHYSICAL THERAPY PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.