Organization Active NPI

Wellness in Motion Physical Therapy LLC

  • Physical Therapist
  • East Brunswick, NJ
National Provider Identifier
1255686291
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00797300 Issued in NJ
Legal business name
WELLNESS IN MOTION PHYSICAL THERAPY LLC
Practice address
561 Cranbury Rd.
Suite B
East Brunswick, NJ 08816-5400
Phone
(848) 228-9536
NPI assigned
Jul 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2012

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

Authorized official

Name
Maria Siochi
Title
Vice President
Phone
(732) 521-3272

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 40QA00819700 NJ
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 40QA00797300 NJ Primary

Addresses

Primary practice location

561 Cranbury Rd.
Suite B
East Brunswick, NJ 08816-5400

Mailing address

6 Muirfield Blvd
Monroe TWP, NJ 08831-5147
Phone (732) 521-3272

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130506000457 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2567609811 Receives reassigned benefits from 2 practitioners
Practice locations: East Brunswick, NJ

National Provider Directory

National Provider Directory

Locations

561 Cranbury Rd
Ste C
East Brunswick, NJ 08816
Phone (732) 307-7320

561 Cranbury Rd
Ste B
East Brunswick, NJ 08816
Phone (848) 228-9536

Practitioners & affiliated clinicians

Practitioners 2

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": "1342396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343865600000",
    "number": "1255686291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MUIRFIELD BLVD",
            "city": "MONROE TWP",
            "state": "NJ",
            "postal_code": "088315147",
            "telephone_number": "732-521-3272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 CRANBURY RD.",
            "address_2": "SUITE B",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165400",
            "telephone_number": "848-228-9536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS IN MOTION PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-16",
        "last_updated": "2012-08-02",
        "status": "A",
        "authorized_official_last_name": "SIOCHI",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "732-521-3272"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00819700",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00797300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; 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.