Provider Demographics
NPI:1619948676
Name:JOINT MOTION, L.L.C
Entity Type:Organization
Organization Name:JOINT MOTION, L.L.C
Other - Org Name:JOINT MOTION PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TRISTON
Authorized Official - Middle Name:STAVROS
Authorized Official - Last Name:GLYNOS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:908-322-3202
Mailing Address - Street 1:373 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:SCOTCH PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07076-1152
Mailing Address - Country:US
Mailing Address - Phone:908-322-3202
Mailing Address - Fax:908-322-3252
Practice Address - Street 1:373 PARK AVE
Practice Address - Street 2:JOINT MOTION, L.L.C.
Practice Address - City:SCOTCH PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07076-0707
Practice Address - Country:US
Practice Address - Phone:908-322-3202
Practice Address - Fax:908-322-3252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-29
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00939500225100000X, 261QM1300X, 261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ089037Medicare ID - Type Unspecified