OrganizationActive
Convergent Movement and Performance LLC
NPI 1104358787 · Physical Therapy Clinic/Center · Bridgewater, NJ
Provider details
- NPI number
- 1104358787
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Eugene Ketselman, Owner Physical Therapist(908) 304-3620
- License
- 40QA01566100 (NJ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1200 US Highway 22 East
Suite 2000 Unit W7
Bridgewater, NJ 08807-2943
Phone: (908) 304-3620
Street-level locationGet directions
Mailing address
726 Route 202
Bridgewater, NJ 08807-2737
Additional practice locations (1)
- 223 Stirling RdWarren, NJ 07059-5238Phone: (908) 304-3620
Registry dates
- Enumerated
- 2017-04-01
- Last updated
- 2019-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.