Provider Demographics
NPI:1154588002
Name:BALANCE AND MOVEMENT REHABILITATION CENTER
Entity type:Organization
Organization Name:BALANCE AND MOVEMENT REHABILITATION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:DENNISON
Authorized Official - Last Name:CURTIS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, PT, DPT, CERT MT
Authorized Official - Phone:732-320-0768
Mailing Address - Street 1:33 ORCHARD PL
Mailing Address - Street 2:
Mailing Address - City:LITTLE SILVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07739-1427
Mailing Address - Country:US
Mailing Address - Phone:732-320-0768
Mailing Address - Fax:
Practice Address - Street 1:33 ORCHARD PL
Practice Address - Street 2:
Practice Address - City:LITTLE SILVER
Practice Address - State:NJ
Practice Address - Zip Code:07739-1427
Practice Address - Country:US
Practice Address - Phone:732-320-0768
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-19
Last Update Date:2013-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00440200261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ047900Medicare PIN