Molly Reiter

Individual provider Active NPI Physical Therapist · River Vale, NJ

NPI 1043944895 · NPPES record last updated Jul 15, 2022

Key facts

NPI
1043944895
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
40QA01691600 (NJ)
Practice address
688 Westwood Ave
River Vale, NJ 07675-6375
Phone
(201) 322-5470
NPI assigned
Jul 15, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forward Motion Physical Therapy LLC (5 clinicians)
Forward Motion PT LLC (5 clinicians)

Practice addresses (Care Compare)

1111 Clifton Ave
Suite 101
Clifton, NJ 07013-3633
Phone (973) 400-3730

167 Newark Pompton Tpke
Suite 101
Pequannock, NJ 07440-1340
Phone (973) 987-3310

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20220727003148 NJ Practitioner - Physical Therapist in Private Practice 8921480633 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
40QA01691600NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Forward Motion PT, LLC Physical Therapist Current
since Jan 1, 2023
Accepting new patients
Forward Motion Physical Therapy LLC Physical Therapist Current
since Jan 1, 2023
Accepting new patients

Locations

1111 Clifton Ave
Ste 101
Clifton, NJ 07013
Phone (973) 400-3730

167 Newark Pompton Tpke
Ste 101
Pequannock, NJ 07440
Phone (973) 987-3310

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01691600 NJ Yes

Addresses

Primary practice location

688 Westwood Ave
River Vale, NJ 07675-6375

Mailing address

1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224

Other providers in River Vale, NJ

All providers in River Vale, NJ · Physical Therapist in New Jersey

Sources for this page

Verify at the official NPI Registry.