Healthcare Provider Details

I. General information

NPI: 1366210411
Provider Name (Legal Business Name): FIRST MOVE PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2023
Last Update Date: 03/11/2025
Certification Date: 03/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

870 PALISADE AVE STE 203
TEANECK NJ
07666-3445
US

IV. Provider business mailing address

870 PALISADE AVE STE 203
TEANECK NJ
07666-3445
US

V. Phone/Fax

Practice location:
  • Phone: 347-446-6966
  • Fax:
Mailing address:
  • Phone: 201-399-0100
  • Fax: 201-399-0101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: EPHRAIM YABLOK
Title or Position: OWNER
Credential: DPT
Phone: 201-399-0100