NPIMap

Organization Active NPI

Forward Motion Physical Therapy LLC

  • Physical Therapist
  • Clifton, NJ
National Provider Identifier
1114157344
Registry record updated Feb 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01212000 Issued in NJ
Legal business name
FORWARD MOTION PHYSICAL THERAPY LLC
Practice address
1111 Clifton Ave
Suite 101
Clifton, NJ 07013-3633
Phone
(973) 400-3730
Fax
(973) 400-3731
NPI assigned
Jul 22, 2009
Last updated
Feb 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Daniel C Prata, PT, DPT, COMTNPI 1669533501
Title
Physical Therapist
Phone
(973) 454-6065

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01212000 NJ Primary

Addresses

Primary practice location

1111 Clifton Ave
Suite 101
Clifton, NJ 07013-3633

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090918000426 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1355497116 Receives reassigned benefits from 8 practitioners
Practice locations: Clifton, NJ

National Provider Directory

National Provider Directory

Locations

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

333 Route 46 W
#B
Fairfield, NJ 07004
Phone (973) 400-3730

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519171200000",
    "number": "1114157344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 CLIFTON AVE",
            "address_2": "SUITE 101",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133633",
            "telephone_number": "973-400-3730",
            "fax_number": "973-400-3731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 CLIFTON AVE",
            "address_2": "SUITE 101",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133633",
            "telephone_number": "973-400-3730",
            "fax_number": "973-400-3731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORWARD MOTION PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-22",
        "last_updated": "2018-02-21",
        "status": "A",
        "authorized_official_last_name": "PRATA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "973-454-6065",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, COMT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01212000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.