Organization Active NPI

Metamovement LLC

  • Physical Therapy Clinic/Center
  • Wall Township, NJ
National Provider Identifier
1164178331
Registry record updated Feb 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
METAMOVEMENT LLC
Practice address
1901 Route 71
Wall Township, NJ 07719-3277
Phone
(908) 625-5972
NPI assigned
Feb 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2022

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

Authorized official

Name
Jeffrey T Mahmood, PT, DPTNPI 1679033419
Title
Physical Therapist
Phone
(908) 625-5972

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 Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1901 Route 71
Wall Township, NJ 07719-3277

Mailing address

608 Holly Hill Dr
Brielle, NJ 08730-1217

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221031000929 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5496122749 Receives reassigned benefits from 4 practitioners
Practice locations: Neptune City, NJ

National Provider Directory

National Provider Directory

Locations

1901 State Route 71
Wall Township, NJ 07719
Phone (908) 625-5972

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1645833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645833600000",
    "number": "1164178331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 HOLLY HILL DR",
            "city": "BRIELLE",
            "state": "NJ",
            "postal_code": "087301217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 ROUTE 71",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077193277",
            "telephone_number": "908-625-5972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METAMOVEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-26",
        "last_updated": "2022-02-26",
        "certification_date": "2022-02-26",
        "status": "A",
        "authorized_official_last_name": "MAHMOOD",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "908-625-5972",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wall Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2022; 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.