ACTIVE EAST PHYSICAL THERAPY, P.C.
NPI 1861715831
Physical Medicine & Rehabilitation - Sports Medicine in Southampton, NY
About Active East Physical Therapy, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ACTIVE EAST PHYSICAL THERAPY, P.C. (NPI 1861715831) is a healthcare organization registered as a sports medicine in Southampton, New York and active in the NPI registry since March 2010. The organization lists Matthew P Mobius, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 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)
Active East Physical Therapy, P.c. 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 Active East Physical Therapy, P.C., 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 Active East Physical Therapy, P.C.'s NPI number?
The NPI number for Active East Physical Therapy, P.C. is 1861715831. It was assigned to this organization in the NPPES registry on March 5, 2010.
Where is Active East Physical Therapy, P.C. located?
Active East Physical Therapy, P.C. is located at 1370 Majors Path Suite A, Southampton, NY 11968. The listed phone number is (631) 377-3488.
What is Active East Physical Therapy, P.C.'s specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.
Is Active East Physical Therapy, P.C. enrolled in Medicare?
Yes. Active East Physical Therapy, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Active East Physical Therapy, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Active East Physical Therapy, P.C.. 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 Active East Physical Therapy, P.C. was last updated on April 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.
# Active East Physical Therapy, P.c. · NPI 1861715831
Sports Medicine organization in Southampton, New York. Organization record, active in the CMS NPPES registry since March 5, 2010.
## Identity
- **NPI:** 1861715831 (Entity type: Organization)
- **Enumerated:** March 5, 2010
- **Primary specialty:** Physical Medicine & Rehabilitation - Sports Medicine · taxonomy 2081S0010X
- **Organization subpart:** No
- **Authorized official:** Matthew Mobius, OWNER
## Practice location
- **Address:** 1370 MAJORS PATH, SUITE A, Southampton, NY 11968-2431
- **Phone:** (631) 377-3488
## 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:** April 17, 2012
- **Other identifiers:** Medicare PIN Q225310 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1861715831) · Data from the CMS NPPES public registry.