Healthcare Provider Details

I. General information

NPI: 1295649937
Provider Name (Legal Business Name): AM MOTION PHYSICAL THERAPY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8411 QUEENS BLVD
ELMHURST NY
11373-3098
US

IV. Provider business mailing address

8411 QUEENS BLVD
ELMHURST NY
11373-3098
US

V. Phone/Fax

Practice location:
  • Phone: 347-968-8304
  • Fax:
Mailing address:
  • Phone: 347-968-8304
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: AL MANJOORSA
Title or Position: CEO
Credential: DPT
Phone: 347-968-8304