Forward Motion PT, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

FORWARD MOTION PT, LLC

Practice address

167 Newark Pompton Tpke
Pequannock, NJ 07440-1338

Phone

(973) 454-6065

NPI assigned

Feb 8, 2019

Last updated

Feb 8, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel Prata, PT, DPTNPI 1669533501

Title

Co-Owner

Phone

(973) 454-6065

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 7

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.

• Daniel Prata, PT, DPT, COMT

  • Physical Therapist
  • Clifton, NJ
  • NPI 1669533501
  Medicare reassignment Care Compare group NPD Authorized official
• Carlo Atie

  • Physical Therapist
  • Wayne, NJ
  • NPI 1346016847
  Medicare reassignment Care Compare group NPD
• Evan Deckelbaum, DPT

  • Physical Therapist
  • Clifton, NJ
  • NPI 1356591986
  Medicare reassignment Care Compare group NPD
• Molly Reiter

  • Physical Therapist
  • River Vale, NJ
  • NPI 1043944895
  Medicare reassignment Care Compare group NPD
• Hanna Gerd Vazquez, DPT.

  • Physical Therapist
  • Clifton, NJ
  • NPI 1285795112
  Medicare reassignment Care Compare group NPD
• Theodore Chinedu Emenuga, DPT

  • Physical Therapist
  • Pequannock, NJ
  • NPI 1265017230
  NPD (past)
• Miguel Angel Rivera Jr., PTA

  • Physical Therapy Assistant
  • Pequannock, NJ
  • NPI 1982312898
  NPD (past)

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

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549584000000",
    "number": "1568927028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 NEWARK POMPTON TPKE",
            "city": "PEQUANNOCK",
            "state": "NJ",
            "postal_code": "074401338",
            "telephone_number": "973-454-6065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 NEWARK POMPTON TPKE",
            "city": "PEQUANNOCK",
            "state": "NJ",
            "postal_code": "074401338",
            "telephone_number": "973-454-6065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Clifton Ave Ste 101B",
            "address_purpose": "LOCATION",
            "city": "Clifton",
            "state": "NJ",
            "postal_code": "070133633",
            "country_code": "US",
            "telephone_number": "973-400-3730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FORWARD MOTION PT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-08",
        "last_updated": "2019-02-08",
        "status": "A",
        "authorized_official_last_name": "PRATA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "973-454-6065",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theodore Chinedu Emenuga, DPT
• Christina Eromenok, LCSW
• Excel Medical Transportation
• Anna Federico, FNP
• Leah Felder, PSY.D.
• Kathryn Franke, LSW
• Elaine Veronica Giardino, APN-NP
• Vadim Gritsus, M.D.
• Neeta Gupta, CCC-SLP
• Kristen Hanisch, LCSW

• Physical Therapy Clinic/Center in Pequannock, NJ
• Providers in Pequannock, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; 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.