Provider Demographics
NPI:1699355537
Name:MOVE STRONG PERFORMANCE PHYSICAL THERAPY PLLC
Entity Type:Organization
Organization Name:MOVE STRONG PERFORMANCE PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:BRENDAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SYNAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:845-519-7356
Mailing Address - Street 1:179 SHEAR HILL RD
Mailing Address - Street 2:
Mailing Address - City:MAHOPAC
Mailing Address - State:NY
Mailing Address - Zip Code:10541-3631
Mailing Address - Country:US
Mailing Address - Phone:845-519-7356
Mailing Address - Fax:
Practice Address - Street 1:179 SHEAR HILL RD
Practice Address - Street 2:
Practice Address - City:MAHOPAC
Practice Address - State:NY
Practice Address - Zip Code:10541-3631
Practice Address - Country:US
Practice Address - Phone:845-519-7356
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-14
Last Update Date:2023-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1316495823OtherNPI