1104358787 NPI number — CONVERGENT MOVEMENT AND PERFORMANCE LLC

Table of content: (NPI 1104358787)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1104358787 NPI number — CONVERGENT MOVEMENT AND PERFORMANCE LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CONVERGENT MOVEMENT AND PERFORMANCE LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1104358787
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/03/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
726 ROUTE 202
Provider Second Line Business Mailing Address:
SUITE 320 UNIT 200
Provider Business Mailing Address City Name:
BRIDGEWATER
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08807-2737
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1200 US HIGHWAY 22 EAST
Provider Second Line Business Practice Location Address:
SUITE 2000 UNIT W7
Provider Business Practice Location Address City Name:
BRIDGEWATER
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08807-2943
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
908-304-3620
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/01/2017

Additional Information

Authorized Official

Authorized Official Last Name:
KETSELMAN
Authorized Official First Name:
EUGENE
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER PHYSICAL THERAPIST
Authorized Official Telephone Number:
908-304-3620

Provider Taxonomy Codes

  • Taxonomy code: 261QP2000X , with the licence number:  40QA01566100 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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