Accelerated Movement Physical Therapy PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ACCELERATED MOVEMENT PHYSICAL THERAPY PLLC

Practice address

17E Brainard Ridge Road
Windham, NY 12496

Phone

(203) 273-1830

Fax

(475) 215-5711

NPI assigned

Aug 17, 2021

Last updated

Aug 27, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

ACCELERATED MOVEMENT LLCAs reported in NPPES

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

Authorized official

Name

Andrea Delange, PTNPI 1538364658

Title

Owner

Phone

(203) 273-1830

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Part of

Accelerated Movement LLC

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.

• Andrea A. Delange, PT

  • Physical Therapist
  • Ridgefield, CT
  • NPI 1538364658

  NY

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630022400000",
    "number": "1174299572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 COPPER BEECH LN",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068773412",
            "telephone_number": "203-273-1830",
            "fax_number": "475-215-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17E BRAINARD RIDGE ROAD",
            "city": "WINDHAM",
            "state": "NY",
            "postal_code": "12496",
            "telephone_number": "203-273-1830",
            "fax_number": "475-215-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCELERATED MOVEMENT PHYSICAL THERAPY PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACCELERATED MOVEMENT LLC",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A",
        "authorized_official_last_name": "DELANGE",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-273-1830",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Bartner, DC
• Charlene M. Cross Licensed Clinical Social Worker PLLC
• Charlene Cross, LMSW
• Jane Frumberg
• Cheryl Anne Goettsche, MS,CCC-SLP

• Physical Therapist in Windham, NY
• Providers in Windham, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.