Momentum Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

49QA01131100 Issued in NJ

Legal business name

MOMENTUM PHYSICAL THERAPY, LLC

Practice address

504 New Friendship Rd
Howell, NJ 07731-2978

Phone

(732) 216-4677

NPI assigned

Sep 10, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Kathleen Mammana, DPTNPI 1740217660

Title

Physical Therapist/Owner

Phone

(732) 216-4677

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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

• Kathleen Mammana, DPT

  • Physical Therapist
  • Howell, NJ
  • NPI 1740217660
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1669840336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 NEW FRIENDSHIP RD",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077312978",
            "telephone_number": "732-216-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 NEW FRIENDSHIP RD",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077312978",
            "telephone_number": "732-216-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTUM PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-10",
        "last_updated": "2015-09-10",
        "status": "A",
        "authorized_official_last_name": "MAMMANA",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "732-216-4677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "49QA01131100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yisroel Miller, MD
• Vivian V Mishan, M.D.
• Vicente Nevardo Lozada Mision, M.D.
• Mobile Chiropractic Care LLC
• Stephanie Frances Moir
• Monmouth Associated Chiropractic Center
• Monmouth Associated Spine & Rehabilitation Center
• Monmouth Family Foot and Ankle, LLC
• Monmouth Pain at Howell LLC
• Jamie Monsell, LCSW

• Physical Therapy Clinic/Center in Howell, NJ
• Providers in Howell, 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 Sep 10, 2015; 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.