Provider Demographics
NPI:1780007849
Name:IN MOTION PHYSICAL THERAPY AND WELLNESS LLC
Entity Type:Organization
Organization Name:IN MOTION PHYSICAL THERAPY AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:KANCHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHORDIA-KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:908-358-7028
Mailing Address - Street 1:1323A ROUTE 34
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747
Mailing Address - Country:US
Mailing Address - Phone:908-358-7028
Mailing Address - Fax:732-526-7179
Practice Address - Street 1:1323 ROUTE 34 STE A
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:NJ
Practice Address - Zip Code:07747-1955
Practice Address - Country:US
Practice Address - Phone:908-358-7028
Practice Address - Fax:732-526-7179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-27
Last Update Date:2014-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01199500225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty