Healthcare Provider Details

I. General information

NPI: 1457282360
Provider Name (Legal Business Name): MOTION MATRIX PHYSICAL THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 E MOUNT EDEN AVE
BRONX NY
10452-5806
US

IV. Provider business mailing address

96 LINCOLN AVE
SADDLE BROOK NJ
07663-5207
US

V. Phone/Fax

Practice location:
  • Phone: 347-797-3743
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DIVYA PAGHADAL
Title or Position: PRESIDENT
Credential: PT
Phone: 908-476-8990