Look up the most recent NPI and PECOS records

Wonderful Motion Llc

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

347 Ridgewood Ave, Staten Island, NY 10312-2117

PECOS Enrollment

Based on the most recent information from CMS, provider Wonderful Motion Llc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 34 days ago.

Profile Details

Provider ID
1245728757
Provider Type
Organization
Full Name
Wonderful Motion Llc

Subpart
No
Enumeration Date
4/30/2018
Last Updated
4/30/2018

Contact Information

Practice Location

347 Ridgewood Ave, Staten Island, NY 10312-2117

(347) 465-0763

Unlisted Fax

Mailing Location

347 Ridgewood Ave, Staten Island, NY 10312-2117

(347) 465-0763

Unlisted Fax

Authorized Official

Badiola, Danilo Shane De Castro (Pt)

(347) 465-0763

Provider Taxonomies

Code	Description	License
Code 225100000X Primary	Description Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License 016105 New York

Wonderful Motion Llc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Murray, Mary Ann

Healing Hands Physical Therapy & Wellness Pllc

Gardella, Michelle A

Aldeguer-Dimatulac, Ann Marie

Vladimir Fedosseev Physical Therapy Pc

Distefano, Michael

Nemtsova, Yelena

Lizaso, Arthur

Costa, Lorraine

Bhavsar, Zankhana