Active NPI
Moby Ventures LLC
- Physical Therapist
- Garnet Valley, PA
National Provider Identifier
1124616131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- MOBY VENTURES LLC
- Practice address
- 79 Overlook Cir
Garnet Valley, PA 19060-2251 - Phone
- (732) 593-9918
- NPI assigned
- Jan 5, 2021
- Last updated
- Jan 5, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chandni Gulati
- Title
- Physical Therapist
- Phone
- (732) 593-9918
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
79 Overlook Cir
Garnet Valley, PA 19060-2251
Mailing address
79 Overlook Cir
Garnet Valley, PA 19060-2251
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Physical Therapist
- Garnet Valley, PA
- NPI 1891934840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609804800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1609804800000",
"number": "1124616131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 OVERLOOK CIR",
"city": "GARNET VALLEY",
"state": "PA",
"postal_code": "190602251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79 OVERLOOK CIR",
"city": "GARNET VALLEY",
"state": "PA",
"postal_code": "190602251",
"telephone_number": "732-593-9918"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOBY VENTURES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-05",
"last_updated": "2021-01-05",
"certification_date": "2021-01-05",
"status": "A",
"authorized_official_last_name": "GULATI",
"authorized_official_first_name": "CHANDNI",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "732-593-9918"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garnet Valley, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.