Provider Demographics
NPI:1053965137
Name:QUALITY MOVEMENT PHYSICAL THERAPY
Entity type:Organization
Organization Name:QUALITY MOVEMENT PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:FALESTO
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:347-886-8428
Mailing Address - Street 1:22 HURON RD
Mailing Address - Street 2:
Mailing Address - City:BELLEROSE VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11001-4007
Mailing Address - Country:US
Mailing Address - Phone:347-886-8428
Mailing Address - Fax:
Practice Address - Street 1:22 HURON RD
Practice Address - Street 2:
Practice Address - City:BELLEROSE VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11001-4007
Practice Address - Country:US
Practice Address - Phone:347-886-8428
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-28
Last Update Date:2019-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty