Healthcare Provider Details

I. General information

NPI: 1710591938
Provider Name (Legal Business Name): MOTO PHYSICAL THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2020
Last Update Date: 12/04/2020
Certification Date: 12/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 FURMAN PL
EAST NORWICH NY
11732-1313
US

IV. Provider business mailing address

5 FURMAN PL
EAST NORWICH NY
11732-1313
US

V. Phone/Fax

Practice location:
  • Phone: 516-972-8897
  • 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: MISS MICHELE ALIANI
Title or Position: MANAGING PARTNER
Credential: PT
Phone: 516-972-8897