Provider Demographics
NPI:1235789983
Name:MOVEMENT MASTERS LLC
Entity Type:Organization
Organization Name:MOVEMENT MASTERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NISCHAYKUMAR
Authorized Official - Middle Name:K
Authorized Official - Last Name:MODI
Authorized Official - Suffix:
Authorized Official - Credentials:MPA
Authorized Official - Phone:516-838-5825
Mailing Address - Street 1:27 ALAN TER
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-1783
Mailing Address - Country:US
Mailing Address - Phone:516-838-9760
Mailing Address - Fax:
Practice Address - Street 1:146 E 55TH ST FL 3
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-4635
Practice Address - Country:US
Practice Address - Phone:516-838-5825
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-15
Last Update Date:2019-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy