Provider Demographics
NPI:1760946271
Name:JOINT MOVEMENTS PHYSICAL THERAPY
Entity Type:Organization
Organization Name:JOINT MOVEMENTS PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:PEREIRA
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:845-480-4149
Mailing Address - Street 1:4 CRESCENT DR APT 14
Mailing Address - Street 2:
Mailing Address - City:THIELLS
Mailing Address - State:NY
Mailing Address - Zip Code:10984-1635
Mailing Address - Country:US
Mailing Address - Phone:845-480-4149
Mailing Address - Fax:
Practice Address - Street 1:34 W RAMAPO RD
Practice Address - Street 2:
Practice Address - City:GARNERVILLE
Practice Address - State:NY
Practice Address - Zip Code:10923-2011
Practice Address - Country:US
Practice Address - Phone:845-271-4785
Practice Address - Fax:845-271-4786
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-29
Last Update Date:2019-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty