Provider Demographics
NPI:1629856315
Name:MOTIL, KAITLYN (PT, DPT)
Entity Type:Individual
Prefix:
First Name:KAITLYN
Middle Name:
Last Name:MOTIL
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1311 MAMARONECK AVE STE 140
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-5224
Mailing Address - Country:US
Mailing Address - Phone:914-294-4050
Mailing Address - Fax:
Practice Address - Street 1:344 DELSEA DR STE 4
Practice Address - Street 2:
Practice Address - City:MALAGA
Practice Address - State:NJ
Practice Address - Zip Code:08328-4400
Practice Address - Country:US
Practice Address - Phone:856-694-0881
Practice Address - Fax:856-694-0885
Is Sole Proprietor?:No
Enumeration Date:2023-09-15
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA02212100225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist