Healthcare Provider Details

I. General information

NPI: 1205755725
Provider Name (Legal Business Name): MOMENTUM PERFORMANCE PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

613 RIDGE RD
MONMOUTH JUNCTION NJ
08852-2630
US

IV. Provider business mailing address

601 PITNEY DR APT 37
SPRING LAKE NJ
07762-2257
US

V. Phone/Fax

Practice location:
  • Phone: 732-882-2852
  • Fax:
Mailing address:
  • Phone: 732-882-2852
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALEXANDER LETO
Title or Position: CO-OWNER
Credential: PT, DPT, OCS, CSCS
Phone: 732-832-1576