MEDICARE: MOTION MATRIX PHYSICAL THERAPY PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1457282360
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOTION MATRIX PHYSICAL THERAPY PLLC

Provider Business Mailing Address
First Line	:	96 LINCOLN AVE
Second Line	:
City	:	SADDLE BROOK
State	:	NJ
Zip	:	07663-5207
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	57 E MOUNT EDEN AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10452-5806
Country	:	US
Telephone Number	:	347-797-3743
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DIVYA PAGHADAL
Credential	:	PT
Telephone Number	:	908-476-8990

Provider Enumeration Date	:	05/28/2026
Last Update Date	:	05/28/2026

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