Provider Demographics
NPI:1174299572
Name:ACCELERATED MOVEMENT PHYSICAL THERAPY PLLC
Entity Type:Organization
Organization Name:ACCELERATED MOVEMENT PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:DELANGE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:203-273-1830
Mailing Address - Street 1:5 COPPER BEECH LN
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06877-3412
Mailing Address - Country:US
Mailing Address - Phone:203-273-1830
Mailing Address - Fax:475-215-5711
Practice Address - Street 1:17E BRAINARD RIDGE ROAD
Practice Address - Street 2:
Practice Address - City:WINDHAM
Practice Address - State:NY
Practice Address - Zip Code:12496
Practice Address - Country:US
Practice Address - Phone:203-273-1830
Practice Address - Fax:475-215-5711
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ACCELERATED MOVEMENT LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-08-17
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty