Provider Demographics
NPI:1407023575
Name:MOVEMENT SCIENCES PHYSICAL THERAPY PC
Entity Type:Organization
Organization Name:MOVEMENT SCIENCES PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:A
Authorized Official - Last Name:JUNKER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:631-261-6680
Mailing Address - Street 1:761A PULASKI RD
Mailing Address - Street 2:
Mailing Address - City:GREENLAWN
Mailing Address - State:NY
Mailing Address - Zip Code:11740-1710
Mailing Address - Country:US
Mailing Address - Phone:631-261-6680
Mailing Address - Fax:631-261-6684
Practice Address - Street 1:761A PULASKI RD
Practice Address - Street 2:
Practice Address - City:GREENLAWN
Practice Address - State:NY
Practice Address - Zip Code:11740-1710
Practice Address - Country:US
Practice Address - Phone:631-261-6680
Practice Address - Fax:631-261-6684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-08
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015174225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ42011Medicare PIN