Provider Demographics
NPI:1447999149
Name:APPLIED FUNCTIONAL MOVEMENT LLC
Entity type:Organization
Organization Name:APPLIED FUNCTIONAL MOVEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GARO
Authorized Official - Middle Name:
Authorized Official - Last Name:CAPARYAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:201-913-8361
Mailing Address - Street 1:521 ALBRADT ST
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-1805
Mailing Address - Country:US
Mailing Address - Phone:201-913-8361
Mailing Address - Fax:
Practice Address - Street 1:44A E MAIN ST
Practice Address - Street 2:
Practice Address - City:RAMSEY
Practice Address - State:NJ
Practice Address - Zip Code:07446-1901
Practice Address - Country:US
Practice Address - Phone:201-913-8361
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-01
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy