Provider Demographics
NPI:1083267157
Name:FLEXIBLE MOTION PHYSICAL THERAPY PC
Entity Type:Organization
Organization Name:FLEXIBLE MOTION PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPY / OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:
Authorized Official - Last Name:RCQUARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:551-214-9249
Mailing Address - Street 1:3600 BERGENLINE AVE STE 8
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07087-4799
Mailing Address - Country:US
Mailing Address - Phone:551-214-9249
Mailing Address - Fax:877-720-3827
Practice Address - Street 1:3600 BERGENLINE AVE STE 8
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:NJ
Practice Address - Zip Code:07087-4799
Practice Address - Country:US
Practice Address - Phone:551-214-9249
Practice Address - Fax:877-720-3827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-18
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty