MEDICARE: MOTION BRIDGE 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	:	1922966068
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOTION BRIDGE PHYSICAL THERAPY PLLC

Provider Business Mailing Address
First Line	:	5125 VAN KLEECK ST
Second Line	:
City	:	ELMHURST
State	:	NY
Zip	:	11373-4262
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5141 SIMONSON ST # 3B
Second Line	:
City	:	ELMHURST
State	:	NY
Zip	:	11373-4252
Country	:	US
Telephone Number	:	347-280-3997
Fax Number	:

Authorized Official
Title or Position	:	DPT/MANAGING MEMBER
Name	:	ROWENA SARMIENTO
Credential	:	DPT
Telephone Number	:	951-447-9886

Provider Enumeration Date	:	01/15/2026
Last Update Date	:	03/19/2026

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