Provider Demographics
NPI:1477911717
Name:ON THE MOVE PHYSICAL THERAPY
Entity Type:Organization
Organization Name:ON THE MOVE PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:LOFASO
Authorized Official - Last Name:MAIORANO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:914-494-8016
Mailing Address - Street 1:20 REYNOLDS PL
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-5718
Mailing Address - Country:US
Mailing Address - Phone:914-494-8016
Mailing Address - Fax:
Practice Address - Street 1:20 REYNOLDS PL
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-5718
Practice Address - Country:US
Practice Address - Phone:914-494-8016
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-01
Last Update Date:2016-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033929-1261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy