Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Maitry Damanwala

Individual provider Physical Therapist · NPI 1720689425

Maitry Damanwala is a Physical Therapist in Private Practice in Staten Island, New York. Qualified in 2015, 11 years ago. Practices with Mobility and Motion LLC, a 10-clinician group and accepts Medicare assignment.

Years since qualifying
11
In the registry since
2020
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Practice location Address checks out

774 Manor Rd Ste 210
Staten Island, NY 10314-7000
Phone: (718) 989-0757
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1720689425
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 8, 2020
Last updated in NPPESNovember 8, 2020
Certification dateNovember 8, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Mobility And Motion Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Staten Island