Provider Demographics
NPI:1225261365
Name:BODIES IN MOTION PHYSICAL THERAPY
Entity Type:Organization
Organization Name:BODIES IN MOTION PHYSICAL THERAPY
Other - Org Name:BERNICE CUSCUNA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:BERNICE
Authorized Official - Middle Name:I
Authorized Official - Last Name:CUSCUNA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:718-568-4148
Mailing Address - Street 1:95 MANSION AVE
Mailing Address - Street 2:
Mailing Address - City:SI
Mailing Address - State:NY
Mailing Address - Zip Code:10308
Mailing Address - Country:US
Mailing Address - Phone:718-568-4148
Mailing Address - Fax:718-967-0613
Practice Address - Street 1:95 MANSION AVE
Practice Address - Street 2:
Practice Address - City:SI
Practice Address - State:NY
Practice Address - Zip Code:10308
Practice Address - Country:US
Practice Address - Phone:718-568-4148
Practice Address - Fax:718-967-0613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-24
Last Update Date:2009-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021164225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty