Provider Demographics
NPI:1497327753
Name:FORWARD MOVEMENT ANALYSIS & REHABILITATION, LLC
Entity Type:Organization
Organization Name:FORWARD MOVEMENT ANALYSIS & REHABILITATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:R
Authorized Official - Last Name:GELBER
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:402-235-1950
Mailing Address - Street 1:18114 JOSEPHINE ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68136-1308
Mailing Address - Country:US
Mailing Address - Phone:402-235-1950
Mailing Address - Fax:
Practice Address - Street 1:20816 W GRUENTHER RD STE 101
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:NE
Practice Address - Zip Code:68028-5083
Practice Address - Country:US
Practice Address - Phone:402-235-1950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-15
Last Update Date:2021-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty