Provider Demographics
NPI:1154675932
Name:MOVEMENT MATTERS REHABILITATION OT, PT, SLP, PTA PLLC
Entity type:Organization
Organization Name:MOVEMENT MATTERS REHABILITATION OT, PT, SLP, PTA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HUGUE
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:CHARLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-925-8069
Mailing Address - Street 1:264 CANAL ST
Mailing Address - Street 2:SUITE 6E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-3529
Mailing Address - Country:US
Mailing Address - Phone:212-925-8069
Mailing Address - Fax:347-602-9058
Practice Address - Street 1:264 CANAL ST
Practice Address - Street 2:SUITE 6E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-3529
Practice Address - Country:US
Practice Address - Phone:212-925-8069
Practice Address - Fax:347-602-9058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-01
Last Update Date:2015-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY225100000X, 225X00000X, 235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty