Call us at 201.360.0871
391 Danforth Avenue (Near PNC Bank & Jollibee) Jersey City NJ 07305

Contact Us

Please complete the fields below and we will respond to your inquiry within 48 hours. If you wish to have your health insurance benefits verified, please fill out the entire form.

Name: *
Date of Birth (MM-DD-YYYY):
Email: *
Mobile Phone:
Daytime Phone:
Address Street 1:
Address Street 2:
Zip Code: (5 digits)
Referral Source or Primary Medical Doctor:
Insured's Name:
Insured's Date of Birth (MMDDYYYY):
Relationship to Insured:
Insurance Provider Name:
Insurance Phone Number for Providers (located at back of card):
Patient ID #:
Group ID # or Medicare ID#:

Life in Motion Physical Therapy and Wellness, LLC

Serving the residents of Jersey City, Bayonne, and neighboring communities
Phone 201.360.0871 Fax 201.432.5142

Open Monday Wednesday Friday 9:00 a.m. to 7:00 p.m.
Open Tuesday and Thursday 2:00 p.m. to 7:00 p.m.

Saturday, Sunday and week day earlier/later time by Appointment only
Website Builder