Moby Ventures LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

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

Organization subpart

No

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

Specialties & licenses 1

Addresses

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": []
}

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• Physical Therapist in Garnet Valley, PA
• Providers in Garnet Valley, PA by specialty
• Physical Therapist in Pennsylvania

• 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.

Verify at the official NPI Registry.