GREEN MOVEMENT PHYSICAL THERAPY PLLC
NPI 1306652680
Clinic/Center - Physical Therapy in Staten Island, NY
About Green Movement Physical Therapy Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GREEN MOVEMENT PHYSICAL THERAPY PLLC (NPI 1306652680) is a healthcare organization registered as a physical therapy in Staten Island, New York and active in the NPI registry since December 2024. The organization maintains a secondary practice location in Flushing and lists Derrek Yang, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Green Movement Physical Therapy Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Green Movement Physical Therapy PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Green Movement Physical Therapy PLLC's NPI number?
The NPI number for Green Movement Physical Therapy PLLC is 1306652680. It was assigned to this organization in the NPPES registry on December 10, 2024.
Where is Green Movement Physical Therapy PLLC located?
Green Movement Physical Therapy PLLC is located at 945 Huguenot Ave, Staten Island, NY 10312. The listed phone number is (347) 830-7274.
What is Green Movement Physical Therapy PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Green Movement Physical Therapy PLLC enrolled in Medicare?
Yes. Green Movement Physical Therapy PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Green Movement Physical Therapy PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Green Movement Physical Therapy PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Green Movement Physical Therapy PLLC was last updated on May 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Green Movement Physical Therapy Pllc · NPI 1306652680
Physical Therapy organization in Staten Island, New York. Organization record, active in the CMS NPPES registry since December 10, 2024.
## Identity
- **NPI:** 1306652680 (Entity type: Organization)
- **Enumerated:** December 10, 2024
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Organization subpart:** No
- **Authorized official:** Derrek Yang, OWNER
## Practice location
- **Address:** 945 HUGUENOT AVE, Staten Island, NY 10312-4312
- **Phone:** (347) 830-7274
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Physical Therapist in Private Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 31, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1306652680) · Data from the CMS NPPES public registry.