In Motion Physical Therapy and Wellness LLC

Organization Active NPI Physical Therapist · Aberdeen, NJ

NPI 1780007849 · NPPES record last updated Jan 31, 2014

Key facts

NPI
1780007849
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
License
40QA01199500 (NJ)
Legal business name
IN MOTION PHYSICAL THERAPY AND WELLNESS LLC
Practice address
1323 Route 34 Ste a
Aberdeen, NJ 07747-1955
Phone
(908) 358-7028
Fax
(732) 526-7179
NPI assigned
Jan 27, 2014
Organization subpart
No

Authorized official

Name
Mrs. Kanchan Chordia-Khan, DPT
Title
President/Physical Therapist
Phone
(908) 358-7028

Practitioners 1

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20140612000801 NJ Part B Supplier - Clinic/Group Practice 3779714720 Receives reassigned benefits from 1 practitioner
Practice locations: Aberdeen, NJ

National Provider Directory

Locations

1323 State Route 34
Matawan, NJ 07747
Phone (732) 583-3373

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225100000X 40QA01199500 NJ Yes

Addresses

Primary practice location

1323 Route 34 Ste a
Aberdeen, NJ 07747-1955

Mailing address

1323A Route 34
Aberdeen, NJ 07747
Phone (908) 358-7028

Other providers in Aberdeen, NJ

All providers in Aberdeen, NJ · Physical Therapist in New Jersey

Sources for this page

Verify at the official NPI Registry.