Provider Demographics
NPI:1073836318
Name:BRS, INC
Entity Type:Organization
Organization Name:BRS, INC
Other - Org Name:REHAB IN MOTION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:NIKETA
Authorized Official - Middle Name:N
Authorized Official - Last Name:BODALIA
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:251-747-4118
Mailing Address - Street 1:18601 E SILVERHILL AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:ROBERTSDALE
Mailing Address - State:AL
Mailing Address - Zip Code:36567-3703
Mailing Address - Country:US
Mailing Address - Phone:251-747-4118
Mailing Address - Fax:877-232-9875
Practice Address - Street 1:4325 DOWNTOWNER LOOP N
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-5501
Practice Address - Country:US
Practice Address - Phone:251-747-4118
Practice Address - Fax:877-232-9875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-01
Last Update Date:2011-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty