Provider Demographics
NPI:1033730759
Name:MOTION PHYSICAL MEDICINE & WELLNESS, PLLC
Entity Type:Organization
Organization Name:MOTION PHYSICAL MEDICINE & WELLNESS, PLLC
Other - Org Name:CAMPUS MOTION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER/PRINICIPAL
Authorized Official - Prefix:DR
Authorized Official - First Name:OKON
Authorized Official - Middle Name:
Authorized Official - Last Name:ANTIA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:281-241-7312
Mailing Address - Street 1:13100 WORTHAM CENTER DR FL 3
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-5625
Mailing Address - Country:US
Mailing Address - Phone:713-822-3238
Mailing Address - Fax:
Practice Address - Street 1:15415 MUESCHKE RD STE C
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-1488
Practice Address - Country:US
Practice Address - Phone:281-241-7312
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-05
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy